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Reporting requirement for providers using offshore contractors

PacificSource is required to meet standards set by multiple federal and state regulators as well as accrediting standards and contractual obligations to various groups. As a contracted entity of PacificSource, you are also responsible for complying with these requirements, and must ensure that your contracted entities comply with applicable laws and regulations.

Do you currently work with or plan to use an offshore entity that has access to members’ protected health information (PHI)? If so, PacificSource requires that a simple form, the Provider Offshore Operations Attestation, be submitted to us.

You can download the form at our Documents and Forms page, under the “Forms” section for providers.

Please complete the form at your earliest convenience, and email it to us at ComplianceQ&A@pacificsource.com. If you have questions, you may email them to the same address.