Payor IDs
Choose the correct Payor ID numbers based on the patient's type of insurance. Learn more about our HIPAA electronic transaction capabilities.
Commercial:
93029
Medicaid:
20416
Medicare:
20377
PacificSource Administrators, Inc:
93031
Choosing a clearinghouse
We contract with the clearinghouses below to transmit professional, institutional, and dental claims electronically.
You may use one of these clearinghouses, or any other. If you use a clearinghouse not listed below, your clearinghouse should forward your claims to one of our contracted clearinghouses.
To find out more, contact the clearinghouse directly, or get in touch with your PacificSource Provider Service Representative.
Availity (formerly Health E Web)
5555 Gate Pkwy, Suite 110
Jacksonville, FL 32256
Availity.com
Transactions: professional and institutional claims,
835 remittance
Trading Partner ID: 810525733
Change Healthcare, part of Optum
11000 Optum Circle
Eden Prairie, MN 55344
ChangeHealthcare.com
Transactions: professional, institutional, and dental claims;
835 remittance
Trading Partner ID:
- Change Healthcare - 943207296
- Change Healthcare Dental - 061267267
inMediata (formerly SecureEDI)
4235 S Stream Blvd.
Charlotte, NC 28217
877-466-9656
inMediata.com
Transactions: dental claims
Trading Partner ID: 364187943
Office Ally
PO Box 872020
Vancouver, WA 98687
866-575-4120
OfficeAlly.com
Transactions: professional and institutional claims,
835 remittance
Trading Partner ID: 330897513
Payer Connection
4000 Kruse Way Place Bldg 1 Suite 200,
Lake Oswego, OR 97035
503-820-3803
PayerConnection.com
Transactions: professional and institutional claims, 835 remittance
Trading Partner ID: P030489109, S030489109 (PSA)
Trizetto Provider Solutions (formerly GatewayEDI)
3300 Rider Trail South
Earth City, MO 63045
800-969-3666
TrizettoProvider.com
Transactions: professional and institutional claims,
835 remittance
Trading Partner ID: GATEWAYEDI
Waystar (formerly Zirmed)
888 West Market Street
Louisville, KY 40202
Main: 866-537-1362
Sales: 844-899-5945
Waystar.com
Transactions: Professional and institutional claims,
835 remittance
Trading Partner ID: 611340767
Important guidelines for your claim submissions
The fastest way to get your claims processed is to submit them electronically on InTouch, our provider portal.
For paper claims, we use imaging technology to process your claims as quickly and accurately as possible. You can help us by following these guidelines:
- Submit applicable HCFA or UB form.
- Make sure the print is dark, clear, and free of smudges.
- Use 10- to 12-point black or blue type.
- Make sure all information is aligned within the appropriate box.
- Include only information needed for that claim.
- Use only one code per service line.
- Circle any specific pertinent information.
- Include the diagnosis appropriate to the date of service in Box 21(1) (HCFA).
- Include any diagnosis corresponding to Box 21(1) in Box 24(E) (HCFA).
- Include your federal tax ID number in Box 25 (HCFA).
- Please be sure to include the NDC (National Drug Code).
Mail your paper claims
Medicaid
PacificSource Community Solutions
PO Box 7068
Springfield, OR 97475-0068
Commercial
PacificSource Commercial
PO Box 7068
Springfield, OR 97475-0068
Billing Medicaid members
Providers generally should not bill our Medicaid members, but there are a few exceptions. Learn more about these billing exceptions in our Provider Manual.