All PlansAdministrativeMedium impact
Options to check member eligibility
UPMC Health Plan·PA·Provider Announcement
We identified it
Jun 20, 2026
Summary
UPMC Health Plan clarifies that member ID cards do not show eligibility dates - the printed date is only the card's print date. Providers must use PROMISe™ ID or Provider OnLine systems to verify current member eligibility before services.
Action Required
Immediately: Front desk and billing staff must verify all UPMC member eligibility using PROMISe™ ID or Provider OnLine before services. Do not rely on ID card dates for eligibility verification. Update front desk procedures to require electronic eligibility checks for all UPMC patients to prevent claim denials.