Billing and Insurance

Thank you for choosing UPMC Children’s Community Pediatrics as your child’s primary care medical home. We strive to provide our patients and their families with quality, affordable care and that’s why UPMC CCP accepts all major insurances.

Our billing is centralized through our Administrative office in Wexford, Pa. Should you have specific questions regarding your bill, please call 1-888-857-7646 or email your questions to

Insurances Accepted

The following providers and services are currently in-network for most major insurance plans, including Highmark. If you have questions, please call 412-692-7600.

Below you will find a list of the most common insurance plans we work with.


  • Aetna
  • CHIP plans (excluding Atena Better Health Kids) 
  • Cigna Health Care
  • Health America/ Health Assurance
  • Highmark
  • TriCare
  • United Healthcare
  • UPMC Health Plan


  • Highmark Wholecare (formerly known as Gateway)
  • UHC for Families
  • UPMC for Kids
  • UPMC for You

If your child or teen is uninsured, learn more about the Children’s Health Insurance Program (CHIP).

Should you have any questions regarding our insurance policies, please contact the UPMC CCP Billing Office at 724-933-1100 or 1-888-857-7646.

Non-Covered Services

UPMC CCP provides preventive services in accordance with nationally recognized guidelines established by the American Academy of Pediatrics. As your Primary Care Medical Home, UPMC CCP also provides a variety of specialty services within our offices for your convenience and continuity of care. Individual health insurance plans vary. The following preventative services may result in an additional charge. We recommend contacting your insurance company to verify your coverage before services are provided.

Newborn Visit Months 9 – 11

  • Developmental screening
  • Anemia and lead screening

1-year Visit

  • Anemia and lead screening if not previously completed

15-month Visit

  • Lead screening if not previously completed

18-month Visit

  • Developmental screening
  • Autism screening

2-year Visit

  • Autism screening

30-months Visit

  • Developmental screening

Years 3, 4, 5, 6, and 8

  • Vision screening
  • Lead screening if not previously completed

9-year Visit

  • Dyslipidemia

10- year Visit

  • Hearing screening
  • Vision screening
  • Dyslipidemia if not previously completed

11-year Visit

  • Depression screening 
  • Hearing screening
  • Tobacco, alcohol, and drug assessment
  • Dyslipidemia if not previously completed

Years 12, 13, 14, 15, and 16

  • Depression screening
  • Vision screening
  • Hearing screening if not previously completed
  • Tobacco, alcohol, and drug assessment

Years 17, 18, and 19

  • Depression screening
  • Tobacco, alcohol, and drug assessment
  • Hearing, vision, and/ or Dyslipidemia screening if history indicates

Extended Office Hours Policy

UPMC CCP is dedicated to seeing patients whenever they need us. Often these visits occur 5 p.m. and after on weekdays, all day on weekends and some holidays. To ensure our pediatric providers are available to treat all who need medical care, patients may be required to pay a minimal charge for services provided outside normal office hours. This fee is in addition to your regular office visit copay and is an acceptable billing code by most insurance payors. Our care team remains committed to delivering the highest quality care to patients in a timely, convenient manner.

Insurance Coverage for Newborns

If you are expecting a baby, we recommend consulting your insurance provider about changing the scope of your insurance plan to provide for well and sick child care. As you complete pre-delivery planning, make sure to speak with your insurance company about when to add your new little one to your plan. We recommend adding your baby to your insurance plan as soon as possible after birth.

Pay My Bill

Make paying your bill more convenient with online bill pay. UPMC Children’s Community Pediatrics offers two secure methods for paying bills online for well and sick appointments as well as behavioral health visits.

  • Pay Your Bill Using Your Patient Portal: Log in to your MyUPMC or UPMC Central PA Portal account to pay your bill. You must have proxy access for your child to view and pay their bill.
  • Pay Your Bill using a QR or myEasyMatch® Code: Scan the QR code on your paper billing statement or enter the myEasyMatch® code on the websites noted below.

Make a Payment for a Western Pa. Office Visit
Make a Payment for a Central Pa. Office Visit 

For questions regarding your billing statement, please call the UPMC CCP Billing Office at 1-888-857-7646 or email

No Surprises Act

The "No Surprises Act" helps to protect patients and families from surprise medical bills or balance billing. Learn more about UPMC's good faith estimates and disclosure notifications by state.