News and updates

The Explanation of Benefits (EOB) is a statement that gives members important details on services performed, benefits paid, and payment responsibilities. That’s why we’re pleased to announce a...

Being a “members first” health insurer means communicating in ways that members find easy to understand. That’s why we’re pleased to announce a redesign of the Explanation of Benefits (EOB)...

Updates on Existing Criteria January 2022. The following changes to criteria are effective January 22, 2022: Prior Authorization Criteria – Clinical Updates...

Updates on Existing Criteria: December 2021. The following changes to criteria are effective December 22, 2021: Prior Authorization Criteria – Clinical Updates...

After a brief pause, PacificSource has resumed auditing pre-payment hospital claims, beginning October 15, 2021.  The policy document is available upon request and your Provider Service...

On June 14, 2021, Philips issued a recall notification for specific affected ventilation and sleep apnea devices. The notification informs patients, users, and customers of potential impacts on...

Updates on Existing Criteria:  November 2021. The following changes to criteria are effective November 22, 2021: Prior Authorization Criteria – Clinical...

Updates on Existing Criteria: October 2021. The following changes to criteria are effective October 22, 2021: Prior Authorization Criteria – Clinical Updates...

To simplify how members and providers work with us, PacificSource has announced changes to our network beginning Jan. 1, 2022. Once the changes are complete, we will serve members across the region...

Updates on Existing Criteria: September 2021. The following changes to criteria are effective September 22, 2021: Prior Authorization Criteria – Clinical Updates...