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Provider Notices

Reminder: Claims Research Request Process

2/11/2021 11:27:17 AM

In April of 2018, PacificSource implementing a new process for claims research requests from providers. That pertain to all Medicare and Medicaid claim requests.

Formerly, a provider could reach out to the Provider Service Representative and request a correction or review of a claim discrepancy.

The process that was implement created a uniform approach for providers requiring all requests be sent to the claim research mailbox at: govtclaimresearch@pacificsource.com

 

All Claim Research Request emails must be accompanied with the Claim Research Request form, that can be found under Documents and Form or by clicking here.

For multiple claim requests (3 or more affected claims), the list of claims must be attached on an excel spreadsheet (provided). That can be found under Documents and Form or by clicking here.

Due to the process workflow, if a Claim Research Request Form is incomplete or if multiple claims are not listed on an attached excel sheet, the request will be returned to the provider for completion.

 

Any questions regarding the Claims Request, will be addressed by the claims analyst, who will reach out to the contact person listed on the Form. Please be sure to include the name, email and phone number of the appropriate person who is familiar with the claim situation.

 

Thank you for your cooperation, please let us know if you have any questions.


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