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UPMC Health Plan

Primary payer ID
23281Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answeringEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from UPMC Health Plan? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with UPMC Health Plan

Substrate can help practices and billers with the following claims tasks for UPMC Health Plan.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with UPMC Health Plan.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with UPMC Health Plan.

Available

Frequently asked questions

UPMC Health Plan payer FAQs

How do I check claim status with UPMC Health Plan?

Providers check UPMC Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for UPMC Health Plan?

The primary payer ID for UPMC Health Plan is 23281. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for UPMC Health Plan?

The 837P and 837I payer ID for UPMC Health Plan is 23281 via Stedi.

What is the 835 payer ID for UPMC Health Plan?

The 835 payer ID for UPMC Health Plan is 23281 via Stedi.

What is the 270 payer ID for UPMC Health Plan?

The 270 payer IDs for UPMC Health Plan are 23281 via Stedi and 23281 via Availity.

What is the 276 payer ID for UPMC Health Plan?

The 276 payer IDs for UPMC Health Plan are 23281 via Stedi and 23281 via Availity.

What states does UPMC Health Plan operate in?

UPMC Health Plan operates in OH and PA.

Resource library

Routing reference

UPMC Health Plan payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

UPMC Health Plan payer name, operating states, and transaction-specific payer IDs
Payer nameUPMC Health Plan
Operating statesOH, PA
837P professional claims payer IDStedi23281
837I institutional claims payer IDStedi23281
835 ERA payer IDStedi23281Enrollment required
270 eligibility payer IDStedi23281
270 eligibility payer IDAvaility23281
276 claim status payer IDStedi23281
276 claim status payer IDAvaility23281

Payer contact directory

UPMC Health Plan phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Payer phone
(412) 434-1200UPMC HEALTH PLAN
UPMC Health Plan payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(412) 434-1200
  • UPMC HEALTH PLAN

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 10288
  • 23281
  • 23281MA
  • 23281MAP
  • 2803
  • 7543
  • 95216
  • U3281
  • UPMC
  • UPMCD
  • UPMC Dental Advantage
  • UPMC Health Plan (TriState)
  • University of Pittsburgh Medical Center Dental Advantage
  • University of Pittsburgh Medical Center Health Plan
  • UPMCHTHPLN