News and updates

The Source is sent to in-network providers, with content ranging from educational articles, trends, resources, and important news for providers. The winter 2022 issue will highlight...

All Claim Status checks must be completed using our secure provider portal, InTouch for Providers.  Please visit OneHealthPort.com to sign up or log in.  For claims status...

Effective 11/11/2022 PacificSource Community Solutions will no longer pay/reimburse for CPT G0279 (Diagnostic digital breast tomosynthesis; unilateral or bilateral). CPT code G0279 has not been an...

Effective for dates of service on and after March 11, 2023, AIM Specialty Health® (AIM) will transition to an updated set of Clinical Appropriateness Guidelines. 
 
PacificSource...

Sharing on behalf of OHA:  Oregon will not renew the longstanding waiver around EPSDT for children. The decision comes as a result of clear feedback from the community, advocates, children's...

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

According to CMS, RxDC Reporting is intended to enhance transparency and shed light on how prescription drugs contribute to the growth of healthcare spending and the cost of health coverage.* To...

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

With electronic funds transfer (EFT), claim payments are deposited directly into your bank account, eliminating the wait time for paper checks. You may receive EFT payments in one of two...

We would like to inform you of changes to our PacificSource Community Solutions’ formulary and coverage policies. We have recently updated our prior authorization list and coverage policies. These...