Dental claims guidelines
Looking for the latest information on our HIPAA transaction capabilities?
See our HIPAA Electronic Transaction Capability page.
PacificSource’s Payor ID: 93029
Choosing a Clearinghouse
We contract with two clearinghouses to provide transmission dental claims electronically.
Corrected Claims Submission Guidelines
Please submit a Corrected Dental Claim Form with all corrected claims. This will help us assess the reason for the change, resulting in faster turnaround.