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Medical providers, follow these three steps

Dental providers, learn how to join our network.

1. Begin contracting process

Find your state below to download and fill out the interest packet.

Select your state

Idaho

Have general questions about partnering with us or the contracting process? Contact us:

 

Call
800-624-6052, TTY: 711. We accept all relay calls.

Outside of our four-state area? Join the Aetna Signature Administrators® Network to participate.

2. Apply for credentialing

After completing and submitting your credentialing or validation application, our review process can take 30 to 90 days. Once we've reached a decision, you'll receive a letter letting you know your credentialing status.

Applications are available by state:

Idaho

Have questions about the credentialing process? Contact us:

 

3. Connect with your Provider Service representative

Once you get the welcome email that includes your fully executed provider agreement, a Provider Service Representative will be assigned to connect you with the many resources we have available. Email us and we'll be in touch, or find your service representative.

Oregon
ORProviderService@PacificSource.com

 

Idaho
IDProvNet@PacificSource.com

Become a Medicaid-eligible provider

To be credentialed and provide services for PacificSource Community Solutions members, you must be enrolled with the Oregon Health Plan.

Learn how to enroll in Oregon Health Plan

Dental providers

Commercial and Medicare

Contact our Dental Customer Service team about becoming an in-network provider.

Start the process

Medicaid

PacificSource contracts with DCOs to administer the dental benefit, contract with dental care providers, and reimburse for dental services. Contract with one of the three DCOs listed below to serve our members and be a participating Medicaid provider in our regions.

Advantage Dental Services

Capitol Dental Care

ODS Community Dental