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UPMC Health Plan

Commercial

Also covers: UPMC, UPMC for You, UPMC for Life

Payer ID

23281

From a secondary payer guide — verify against UPMC's own EDI documentation.

Timely Filing Limit (TFL)

90 days (per secondary source — confirm in the Provider Manual)

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse

EDI plus direct claim submission via Provider OnLine

Provider Services

Varies — confirm via portal / clearinghouse

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Varies — confirm via portal / clearinghouse

Provider Portal

https://provideronline.upmchp.com/

Pennsylvania plan with commercial, UPMC for You (Medicaid), and UPMC for Life (Medicare Advantage) lines. Payer ID and filing window are from a secondary aggregator — confirm against UPMC's EDI docs.

Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.

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