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QUICK REFERENCE GUIDE - UPMC Health Plan

Effective 4-1-14 QUICK REFERENCE GUIDE Prior Authorization Provider/Member Services 1-800-425-7800 1-800-650-8762 This QUICK REFERENCE GUIDE (QRC) is a snapshot of requirements for prior authorization, claims processing, retrospective utilization, and referral for the CHIP product line. Prior Authorization: Medical Policies outline the indications, limitations, and information that must be submitted to upmc Health plan Medical Management Department for each service that requires prior authorization. The grid below lists all existing Medical Policies applicable to our CHIP members.

Effective 4-1-14 QUICK REFERENCE GUIDE Prior Authorization Provider/Member Services 1-800-425-7800 1-800-650-8762 This Quick Reference Guide (QRC) is a snapshot of requirements for prior authorization,

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