News and updates

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

PacificSource will continue to cover the following COVID-related services, including those that are provided in an office setting, urgent care, or emergency room. These services will continue to cost...

Dear Member, the blog post below makes several references to COVID-19 benefits that will no longer be in effect as of May 11, 2023, due to the end of the federal public health emergency. While...

Part of being a “members first” health insurer is communicating clearly with members. That’s why we’re pleased to announce a redesign of the Explanation of Benefits (EOB) statement you receive when...

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...