All PlansCoverageMedium impact
Use eConsult services in Epic to support patients with substance use issues
UPMC Health Plan·Internal Medicine, OB-GYN, Psychiatry +1 more·Provider Announcement
We identified it
Aug 7, 2026
Summary
UPM Health Plan now enables providers to use two new addiction medicine eConsult services in Epic to obtain specialist recommendations for patients with substance use issues. These eConsults (for general addiction medicine and perinatal addiction medicine) are billable for both requesting and responding providers, require documented verbal patient consent, and may result in patient cost-sharing depending on plan terms.
Action Required
Immediately: Billing team must update billing software and encounter forms to recognize and process eConsult addiction medicine services as billable events. Providers must be trained to obtain and document verbal patient consent before initiating consultations in Epic. Update revenue cycle workflows to capture both requesting provider and responding provider billing for these services. Verify cost-sharing application based on patient plan terms before finalizing claims. No specific effective date is stated; treat as effective upon announcement (June 12, 2024).