Our office-space closures help ensure community and employee safety
In our effort to slow the spread of COVID-19, PacificSource office locations remain closed. Until further notice, we’re unable to accommodate any walk-in visitors. As always, our Customer Service team is glad to answer your questions by phone or email. Let us know how we can help!
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Recent Notices

Reminder: Corrected Claims for COB Where Medicaid is Secondary.

Corrections need to be made to the primary claim as these claims are crossed over.  If you correct the Medicaid claim only and the services are covered by Medicare or Commercial, this claim will erroneously create a new Medicare or Commercial claim for processing. 

Claims are crossed over from PacificSource Medicare and PacificSource Commercial to PacificSource Community Solutions for Coordination of Benefits.

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Retro Pre-Approvals

In order to better align with the Oregon Health Authority, effective February 1, 2021  Pacificsource Community Solutions will now allow retro pre-approval requests for up to 90 days from the date of service.

Pre-approvals may be given a past date of service if:

  • The member was made retroactively eligible or was retroactively disenrolled from a CCO or PHP on the date of service.

  • The provider has not already billed for the service and/o

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Our NEMT brokerage ModivCare formally known as LogistiCare is operating under Inclement Weather Conditions in some areas of Oregon.

Dear Provider’s

 

Our NEMT brokerage ModivCare formally known as LogistiCare is operating under Inclement Weather Conditions in some areas of Oregon.

 

Please know that they are prioritizing those appointments that are considered critical care – e.g. dialysis, chemo, radiation therapy, etc. In addition they are also working to reroute those and/or reschedule others that are non-critical care.

 

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Helpful Information

Provider Learning and Workshops

Attend one of our educational provider workshops.

Provider Learning and Workshops

Documents and Forms

A collection of documents and forms from PacificSource and other resources.

Documents and Forms

Dental Providers

Information and resources for Dental Providers

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Useful Links

A collection of links to various websites and resources.

Useful Links

Inpatient Utilization

Inpatient admission notification and Utilization Review.

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Healthcare Interpreters

A Health Care Interpreter (HCI) Guidelines and Frequently Asked Questions (FAQ)

Healthcare Interpreters FAQ

Provider Information

InTouch for Providers

Access claims, submit and check the status of referrals, preapprovals, appeals and view member benefit information at any time.

InTouch Login
Registration Information

Notices, Updates, and Newsletters

View our current and past notices and updates as well as provider newsletters.

Read Notices and Updates
Read Newsletters

Provider Guides and Guidelines

Guides and Guidelines to help you work with PacificSource.

Compliance Information

Information on Pacific Source's Compliance program.

Billing and Credentialing

Information regarding billing and credentialing.

Claims Information

Claims information and tips to help you work with PacificSource.

Other Resources

Below are links to other PacificSource and external resources.