What's New for Providers

InTouch: Online Tools for Providers

Verify eligibility and check claims status, EOPs, preauthorizations, referrals, and much more online.

Summer 2008 ProviderSource

  • System Upgrade—Preparing for the Next Phase
  • 2009 Code Books Available - order form
  • Sally Hales Leads Provider Network Team
  • Meet Renea DiDomenico, Provider Service Representative
  • PDA Access to Formularies
  • Healthy at Heart™ and Diabetes Control Network Discontinued
  • New Corrected Claims Form
  • Educational Opportunities
  • And more….

Provider Manual Updates

The following revisions were recently made to the PacificSource Physician & Provider Manual:
  • Membership fax number updated (2)

  • Contract Provisions updated (4.4)

  • Member ID card sample updated (9.3)

  • Modifier 80—Assistant Surgeon Updated (11.5.3)

  • “Never event” policy added (11.10)

  • Outpatient Cardiac updated (13)

PacificSource Formularies Available via Epocrates®

You can now access our Preferred Drug List and Value Drug List through Epocrates® drug reference software.

Mental Health & Chemical Dependency Parity

We’ve developed the following materials to address the most common concerns regarding the new Oregon parity regulations:

Frequently Asked Questions About the NPI

For your convenience, we've put together this Frequently Asked Questions sheet to better explain the purpose of your NPI. If you've not done so, please forward your NPI to us at providernet@pacificsource.com.

HIPAA Materials for Electronic Transactions

Visit our HIPAA page to download our HIPAA guides and enrollment forms for electronic claims transactions.

 
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Unless otherwise stated, all text and images © 2008 PacificSource. All rights reserved.