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Criteria for preauthorization decisions

Criteria may be requested by contacting our Health Services team. Criteria can be emailed, faxed, or mailed to you per your request.

Email healthservices@pacificsource.com  

Phone

(888) 691-8209
TTY: 711

FAX

Oregon: (541) 225-3625
Idaho: (208) 333-1597
Montana: (406) 441-3378

Mail

PacificSource Health Plans
Attn: Health Services
PO Box 7068
Springfield, OR 97475-0068