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Help your patients learn what's happening with Medicaid renewal.
Download the general FAQ or Oregon FAQ

Access patient health information online

Our secure website for providers, InTouch, lets you access claims, request and check the status of preauthorization, and view member benefit eligibility, any time.

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Prior authorization

Medical prior authorization

Dental prior authorization

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Claims guidelines

Medical claims guidelines

Dental claims guidelines

Ways we can help you

Search tools and resources

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Provider Manual

The essential reference for our contracted providers.

Download Provider Manual

Provider resource center

Centralized online reference for common provider questions.

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Provider Directory

Searchable repository of our provider partners.

Commercial Provider Directory
Medicaid Provider Directory
Medicare Provider Directory

What’s New for Providers

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What you need to know about Medicaid renewal

After a three-year pause, the process of checking member eligibility for renewing Medicaid health insurance coverage has begun again. It’s estimated that anywhere between 5 and 15 million people are going to lose their coverage nationwide. Here’s some information to help you support your patients...

July 2023 Drug List Change Notification (Commercial) Updates on Existing Criteria July 2023. The following changes to criteria are...

CMS/NCCI designation for C-Code reimbursement Beginning May 15, 2023, PacificSource Health Plans will use the CMS/National...

Prior authorization changes for July 2023 Effective July 3, 2023, PacificSource will require prior authorization codes...

See all Provider Updates


Compliance requirements

Help us prevent, detect, and correct noncompliance and fraud, waste, and abuse (FWA). Our Code of Conduct and Compliance and Program Integrity Plan ensure compliance with laws, regulations, and our internal policies and procedures. Please download the Provider Manual to learn more.

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Please contact the patient's dental care organization for services other than hospital dentistry.

We accept all relay calls.