Claims, Billing, and Incentives
Providers may submit claims to Upper Peninsula Health Plan (UPHP) in two ways:
- Electronically – UPHP encourages all providers to submit claims electronically via the UPHP Claims Portal. Within the portal, users can also check the status of a claim, or submit a claim inquiry. Simply register for an account to get started. Use the National Electronic Insurance Code 38337.
- Paper (Hard Copy) – Paper claims should be mailed to:
Upper Peninsula Health Plan
853 West Washington Street
Marquette, MI 49855
Handwritten claim forms are not accepted. If submitted, they will be returned. All claims must include the provider’s National Provider Identifier and be submitted on either of the following forms:
- Professional Claims – CMS 1500
- Facility Claims – UB-04
UPHP works with Change HealthCare to provide Electronic Funds Transfer (EFT). Enrollment information for EFT can be found at their resource library.
For assistance logging into UPHP Claims Portal, please contact the UPHP Helpdesk at (906) 225-6811.
For questions regarding claims, contact UPHP Claims Services at firstname.lastname@example.org or call (906) 225-7746.
UPHP billing policies are health-plan-specific policies that outline the guidelines and requirements for reimbursement of specific claims.
The document below includes summaries of the measures used for performance measurement of UPHP providers who care for UPHP member populations (Medicaid & Medicare) and Blue Cross Blue Shield of Michigan Physician Group Incentive Program member populations.
Page Last Updated: 06/26/2020