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Options to check member eligibility
UPMC Health Plan·Provider Announcement
We identified it
Aug 7, 2026
Summary
UPM Health Plan clarifies that member ID card print dates are NOT eligibility dates and should not be used to verify coverage. Billing teams must use PROMISe™ ID or Provider OnLine portal to confirm actual member eligibility instead of relying on card dates. This prevents claim denials due to eligibility verification errors.
Action Required
Immediately: Billing and front desk staff must stop using member ID card print dates to verify eligibility. Implement the following workflow: (1) For every patient encounter, use PROMISe™ ID or Provider OnLine portal to confirm current eligibility before billing; (2) Train all front desk and billing staff that card print dates are for card manufacturing only and do not indicate active coverage; (3) Update patient intake forms and billing procedures to reflect this requirement; (4) Do not process claims based on ID card dates alone. Failure to verify eligibility through proper channels will result in claim denials and patient billing issues.