Updates on Existing Criteria Preauthorization Criteria – Clinical Updates Ferriprox and Exjade & Jadenu – Combine policies to create “Chelating Agents” Histrelin – Update...

Starting August 11, 2020, InTouch for Providers users will see the addition of Multi-Factor Authentication (MFA) to OneHealthPort’s Single Sign-On (SSO) service.

If you are currently enrolled to receive Electronic Remittance Advice (835), this enhancement will result in additional data you receive via 835 transaction on corrected claims.  The following...

The notification contains changes for the Preferred and state-based lists, as well as our medical utilization management criteria (preauthorization, step therapy criteria). See the July 2020 Drug...

Effective for dates of service on and after September 12, 2021, the following updates will apply to the AIM Advanced Imaging Clinical Appropriateness Guidelines. Part of the AIM guideline annual...

As we confront the challenges of COVID-19, we remain focused on how best to serve employers, members, and healthcare providers. Collaboration and partnerships are more important than ever. In our...

Read the March 27, 2020, letter to providers (pdf) from PacificSource President and CEO Ken Provencher regarding our relief plan for providers. 

As PacficSource monitors the spread of the coronavirus (COVID-19), our aim is to keep you informed while applying provisions to help curtail the outbreak and optimize access to care.

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We have some great news!  Effective January 1, 2020, once a provider has been approved through the credentialing process, practitioners and facilities will be effective on the...

Good News for providers and members!  Effective January 1, 2020, PacificSource will no longer require a prior authorization for home health.  This includes home health: Nursing Social...