Payer Directory

How to check Upper Peninsula Health Plan eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.

  • Payer ID 38337
  • Real-time 270/271
  • Enrollment required · days
  • Medicare · Medicaid

Three ways to verify Upper Peninsula Health Plan coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
The third way

Automated 270/271 check

Full benefit detail in seconds, batched for your whole schedule — not one patient at a time.

From $0.50 per check, pay-as-you-go. A one-time enrollment comes first.

Payer facts

Upper Peninsula Health Plan at a glance

What billers need before running a check.

  • Payer ID

    38337Also known as 11097, 2532, 3741, 38337MA

  • Real-time eligibility

    After enrollmentA one-time enrollment is required before checks can run (about days).

  • Coverage

    dental, medicalMedicare · Medicaid

  • Operating area

    Michigan

  • Payer website

    www.uphp.com
Transactions

Supported transactions

What can be exchanged electronically with Upper Peninsula Health Plan today.

  • Eligibility (270/271)

    ENROLLMENT REQUIREDReal-time benefit and coverage checks

  • Claim status (276/277)

    NOT AVAILABLEWhere a submitted claim stands

  • Professional claims (837P)

    SUPPORTEDPhysician and outpatient claims

  • Institutional claims (837I)

    SUPPORTEDFacility claims

  • Dental claims (837D)

    NOT AVAILABLEDental claims

  • Remittance (835 ERA)

    ENROLLMENT REQUIREDElectronic remittance advice

  • Coordination of benefits

    NOT AVAILABLESecondary-payer routing

  • Claim attachments (275)

    NOT AVAILABLESupporting documentation
Compare

Portal vs. phone vs. automated

The same verification, three ways.

MeasurePayer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per checkStaff time, one login per patient~$8.57 in staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*A manual eligibility check costs a medical practice $8.57; an electronic one costs $2.00. Source: 2024 CAQH Index.

In production

What Medman does in practices today

  • 65%

    fewer denials at Valley Diabetes & Obesity

  • 90%

    of eligibility checks fully automated

  • $107–149K

    annual savings, small specialty practice

  • 24 mo

    in production

Questions

Frequently asked questions

What is the payer ID for Upper Peninsula Health Plan?

Upper Peninsula Health Plan uses payer ID 38337. It also appears as 11097, 2532, 3741, 38337MA in some systems.

Does Upper Peninsula Health Plan support real-time eligibility verification?

Yes. Upper Peninsula Health Plan supports real-time 270/271 eligibility checks after a one-time enrollment that typically takes days. Once enrolled, checks return in seconds.

How long does a Upper Peninsula Health Plan eligibility check take?

A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.

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Run your first Upper Peninsula Health Plan eligibility check

From $0.50 per check, pay-as-you-go. No annual contract, no implementation project.

How the eligibility agent worksSee pricing

Billing more than Upper Peninsula Health Plan? — upload it and see which of your payers run automatically.