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Important update: UPMC Health Plan 835 readmits

UPMC Health Plan·Reimbursement
Effective date
May 7, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

UPMC Health Plan identified errors in Electronic Remittance Advice (835) files sent to providers between April 26 and May 7, 3 p.m., due to a systems enhancement issue. The problem has been resolved as of May 7 at 3 p.m. when they rolled back the enhancement.

Action Required

Action needed
Immediately: Billing team should review all UPMC Health Plan 835 files received between April 26 and May 7, 2024 at 3 p.m. for potential data errors. Verify payment postings and reconcile any discrepancies by cross-referencing with Explanations of Payment or Benefits. Contact UPMC Provider Services at 1-866-918-1595 for questions about specific claims that may have been impacted.

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