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Provider Directory Updates and Required Attestation

UPMC Health Plan·Provider Announcement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

UPMC Health Plan requires all providers to verify their directory information every 90 days through CAQH to comply with CMS requirements and the No Surprises Act. Failure to attest may result in action per provider agreements and affect quality program participation and payment.

Action Required

Action needed
Every 90 days: All providers must log into CAQH Provider Data Portal at https://proview.caqh.org/ to verify and attest directory information including ability to accept new patients, street address, phone number, office hours, hospital privileges, and telehealth availability. New users must create CAQH profile. Verify information accuracy at upmchealthplan.com/find and update at upmchealthplan.com/providers/change-provider-profile-info.aspx. Also review NPI data in NPPES system. Failure to attest every 90 days may result in action per participating provider agreement and affect quality program participation and payment.

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