CommercialPrior AuthHigh impact
Important announcement: UPMC Health Plan retires MP.PA.147
UPMC Health Plan·Gastroenterology, General Surgery, Family Medicine +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
UPMC Health Plan has retired policy MP.PA.147 which required prior authorization for diagnostic and surveillance colonoscopies for patients 18 and older. All existing authorization requests under this policy will be voided and no prior authorization is now needed for these procedures.
Action Required
Immediately: Billing team must update system settings to remove prior authorization requirements for UPMC Health Plan colonoscopy procedures for patients 18 and older. Stop submitting authorization requests for diagnostic and surveillance colonoscopies under retired policy MP.PA.147. Any pending authorizations can be disregarded as they will be voided.