Provider Manual—Commercial Plans

The PacificSource Provider Manual—Commercial Plans is your reference for information about PacificSource commercial policies and procedures. If you have any questions or suggestions regarding this manual, you are welcome to contact your PacificSource Provider Service Representative.

Provider Manual (all sections) (PDF version)

Who to Contact:

Sample Plan Policies and Handbooks with Covered Expenses, General Exclusions, and Limitations. For reference, sample plan policies and handbooks are available with sample summaries. These outline coverage, as well as exclusions and limitations. Note these are sample documents, and a patient’s actual coverage may vary. Please be sure to contact us as you normally would to verify benefits or obtain preapproval.

Physicians and Providers


Medical Management 


Health Plan Summaries

Extra Benefits and Wellness Programs 

Member Information

Filing Claims

Billing Requirements 

Publications and Tools: 

InTouch for Providers

Access your PacificSource account information 24/7.

Medicaid Dental Providers

Learn more about our contracted dental provider networks for Medicaid dental services.

Learn more >

Manuals for Our Government Plans

The PacificSource provider manual linked from this page is for our commercial health plans only. We have separate manuals for our government lines of business. Below are links to the web pages where you can access those manuals.

Medicare Provider Manual

Medicaid Provider Manual

Questions About the NPI?

We've put together a Frequently Asked Questions  sheet to better explain the purpose of your National Provider Identifier (NPI). If you've not done so, please forward your NPI to us at

Last updated 2/12/2019