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...

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...