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Our Provider Bulletin offers information about what's happening with PacificSource and the healthcare industry, as well as specific updates for commercial, Medicare, and Medicaid plans and patients. Current and recent articles can be found on our Articles page .
As a PacificSource member, you have access to free tools, benefits, and programs. These no-cost extras help you make the most of your plan to live a healthier life. Quickly view your copays, deductibles, claims, and more with our member portal. Need to set up auto pay, file a claim, or other transaction?
Pre-payment audits resumed Oct. 15 After a brief pause, PacificSource has resumed auditing pre-payment hospital claims, beginning... We’re here to help. For more information on referrals, preauthorization, hospital stays, personal health and more, please use the following contact methods:
As a PacificSource member, you have access to free tools, benefits, and programs. These no-cost extras help you make the most of your plan to live a healthier life.
Quickly view your copays, deductibles, claims, and more with our member portal.
The free myPacificSource and myPacificSource Admin (PSA) mobile apps let you manage your benefits, wherever you are.
Providing PacificSource with all the information required to provide benefits under their plan. Giving their healthcare provider complete health information to help accurately diagnose and treat them.
Case Management Support and Referrals for Members with Complex or Chronic Conditions#N#Case management is a service available to all PacificSource members who have complex or chronic medical conditions and require support to manage their healthcare needs. It is a service aimed at improving health outcomes and quality of life while reducing healthcare costs.#N#Our case managers are registered nurses and licensed mental health professionals with extensive clinical experience. They work collaboratively with members and their healthcare providers to provide improved clinical, humanistic, and financial outcomes for members.#N#Case management can be of great help to members experiencing a wide range of complex medical issues with extensive care needs. If you would like to refer a patient to case management, please contact our Health Services Department at 888-691-8209.
Under the Affordable Care Act (ACA), all Medicare Advantage and commercial plans are required to submit information on patient health status annually to help establish the costs of patient care for the next year and reimbursement to the health plan. But risk adjustment is much more than a regulatory requirement.
ID Cards. If your patient is a new PacificSource member or is a current member needing a new card, they can print an ID card. (link is external) . They will need their plan information to fill in the required fields and generate a card.