CommercialAdministrativeMedium impact
Important: Expedited appeals fax requirement
UPMC Health Plan·Provider Announcement
We identified it
Jun 20, 2026
Summary
UPMC Health Plan now requires all expedited appeals to be submitted by fax only to 412-454-7920, with the required Expedited Medical Necessity Appeal Request Form. Email or mail submissions will cause processing delays and may prevent completion within the 48-hour timeframe.
Action Required
Immediately: Update expedited appeal workflow to use fax only (412-454-7920) instead of email or mail. Download current Expedited Medical Necessity Appeal Request Form from UPMC Health Plan website. Train billing team on new fax-only process to avoid processing delays beyond 48-hour requirement.