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Payer details

UPMC Health Plan

Reliability

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Primary payer ID
23281
Directory ID
PKXKN
State / territory
Ohio, Pennsylvania
Plan type
Commercial
Coverage
dental, medical, vision
Parent payer group
UPMC Health System Group

Transaction support

Enrollment requirements apply before use.

Claim status

276 / 277

Eligibility checks

270 / 271

Portal automation
Denial appeals

Names & identifiers

Also known as
UPMC Dental Advantage · UPMC Health Plan (TriState) · University of Pittsburgh Medical Center Dental Advantage · University of Pittsburgh Medical Center Health Plan
Alternate payer IDs
10288 · 23281 · 23281MA · 23281MAP · 2803 · 7543 · 95216 · U3281 · UPMC · UPMCD

These identifiers are listed as supplied. Confirm the correct ID with your clearinghouse for the intended transaction; an alternate ID is not a universal routing ID.

Directory details

Directory updated September 20, 2026.

Transaction availability can depend on the plan, enrollment, and channel. A red reliability dot means no supported capabilities are published or a disruption has been reported by Ember. Green checks indicate supported capabilities, subject to enrollment and authorized portal access.

Payer names are used for identification. Ember is not affiliated with or endorsed by the listed payers.