News and updates

Effective January 1, 2021, PacificSource will be removing inpatient notification requirements for maternity hospital stays for members on all commercial and Medicaid plans. If...

Employers, health insurers, and individuals will soon need to prepare for filing their 1094 and 1095 forms with the IRS. Here’s what you need to know to assist your clients with this requirement:...

Updates on Existing Criteria: February 2021. The following changes to criteria are effective February 22, 2021: Preauthorization Criteria – Clinical Updates...

Effective January 1, 2021, PacificSource will allow testing codes G0480, G0481, G0482 and G0483 for members covered by our commercial plans. These...

Effective January 1, 2021, preauthorization will no longer be required for CPT codes 00811 – 00813 for members covered by our commercial plans. ...

Effective January 1, 2021, PacificSource will be implementing additional industry standard rejections that will occur at our front door once they pass through the...

Updates on Existing Criteria: January 2021. The following changes to criteria are effective January 22, 2021: Preauthorization Criteria – Clinical Updates...

The 2021 commercial brochures, summaries, and summary of benefits and coverage documents (SBCs) are now on our website. These materials are specific to Idaho, Montana, Oregon, and Washington. Please...

Updates on Existing Criteria: December 2020. The following changes to criteria are effective December 22, 2020: Preauthorization Criteria – Clinical Updates...

Reiterating our policy for telehealth services reimbursement and addressing requests for Behavioral Health telehealth, post-pandemic.