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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

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Provider Manual

The essential reference for our contracted providers.

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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

US Capitol

An end to surprise medical bills

New legislation shields consumers from unexpected charges    Starting January 1, 2022, the federal No Surprises Act protects consumers from excessive out-of-pocket costs.  ...

Clinical policy changes PacificSource has updated the following clinical policies: Instrumented Spinal Surgery Ocular...

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

Continuous glucose monitors (CGMs) – prior authorization effective April 1, 2023 Effective April 1, 2023, the following HCPC codes will require prior authorization (PA) when using...

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Compliance requirements

Help us prevent, detect, and correct noncompliance and fraud, waste, and abuse (FWA). Refer to the Provider Manual to learn about our programs that ensure compliance with laws, regulations, and our internal policies and procedures.

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We’re here to help.

Dental

Medicaid

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

We accept all relay calls.