[PDF] upmc provider enrollment

Provider Standards and Procedures

3 Apr 2020 Contact UPMC Health Plan Provider Services with any questions comments

SUBJECT: Provider Enrollment Delegated Credentialing

Credentialing/recredentialing is the process by which UPMC Pinnacle ensures the quality of all providers of health care services to patients. UPMC Pinnacle has 

Provider Standards and Procedures

4 Mar 2022 Contact UPMC Health Plan Provider Services with any questions ... Medical Assistance enrolled providers are prohibited from denying ...

Provider Standards and Procedures

Contact UPMC Health Plan Provider Services with any questions comments

Provider Standards and Procedures

10 Jul 2020 Contact UPMC Health Plan Provider Services with any questions comments

Welcome and Key Contacts

Welcome to UPMC Health Plan a provider-led health plan committed to quality coverage o Individuals enrolled in both Medicare and Medical Assistance.

Provider Standards and Procedures

15 Apr 2021 Contact UPMC Health Plan Provider Services with any questions ... Medical Assistance enrolled providers are prohibited from denying ...

Community HealthChoices Overview

Deep partnership with UPMC Health System and laboratory for innovation Email CHCProviders@upmc.edu to receive a provider application.

Claims Procedures

possible UPMC Health Plan requests that providers submit claims promptly and include all indicate that the beneficiary is enrolled in UPMC for You.

Claims Procedures

The Medicare eligibility record must indicate that the beneficiary is enrolled in UPMC for You. Providers should review the. Explanation of Medicare Benefits ( 

How do I register for UPMC Health Plan?

New users will be asked to register. For log-in information, contact the UPMC Health Plan Web Servicesat 1-800-937-0438or email HPOnline@upmc.edu. See Provider OnLine,Welcome and Key Contacts, Chapter A.

Who must be credentialed to provide services at UPMC facilities?

Practitioners wishing to provide services at the UPMC facilities must be credentialed by each facility where services will be provided. The UPMC Credentials Verification Office (CVO) processes the applications and obtains the primary source verification on behalf of the facilities.

How many UPMC providers are there on Doctor com?

Aggregate Statistics Total number of Providers on Doctor.com ... 2070 Most popular medical specialty of provid ... Family Doctor UPMC providers listed on Doctor.com have ... 27.1 year (s) Average ProfilePoints™ score for Provide ... 44/80 Average Overall User Rating for provider ... 4 (out of 5)

What are the common place-of-service codes for UPMC Health Plan?

This policy applies to all UPMC Health Plan products. Table H3: Commonly Used Place-of-Service Codes Code Description 11 Office 12 Home 15 Mobile 20 Urgent Care Facility 21 Inpatient Hospital 22 Outpatient Hospital 23 Emergency Room 24 Ambulatory Surgical Center 25 Birthing Center 26 Military Treatment Facility