Covered provider types - PEBB

Covered provider types

The plan pays for covered services only when medically necessary and performed by covered provider types working within the scope of their license(s). If you have UMP Classic, UMP Select, or UMP CDHP, all preferred providers are covered provider types.

If you have UMP Plus, all providers in the core network and support network are covered provider types.

If you see an out-of-network provider who is not a covered provider type, UMP will not pay for any of the services received, and you will be responsible for all charges. Payments made to a noncovered provider type will not count toward your medical deductible or medical out-of-pocket limit.

Provider specialty type code

Provider specialty type name 

ARNP

Advanced registered nurse practitioner

AUD

Audiologist

BCBA

Licensed behavior analyst

CGC

Licensed genetics counselor

CN

Certified nutritionist

CNM

Certified nurse midwife

CRNA

Certified registered nurse anesthetist

DC

Chiropractic physician

DDS or DMD

Dentist

DO

Osteopathic physician

DPM

Podiatric physician

EAMP

East Asian medicine practitioner

LAC

Acupuncturist

LCSW

Licensed clinical social worker

LM

Licensed midwife

LMFT

Licensed marriage and family therapist

LMHC

Licensed mental health counselor

LMT

Licensed massage therapist

MD/DO

Physician

ND

Naturopathic physician

OD

Optometrist

OT

Occupational therapist

PA

Licensed physician assistant/physician assistant certified

PharmD

Pharmacist

PhD, PsyD, EdD

Psychologist

PT

Physical therapist

RD

Registered dietitian

SLP

Speech language pathologist