Articles

Updates on Existing Criteria: December 2020. The following changes to criteria are effective December 22, 2020: Preauthorization Criteria – Clinical Updates Cannabidiol – update to include new indication of Tuberous Sclerosis Complex (TSC) Ecallantide –...

Every year prior authorization requirements are subject to change; some codes are added while others are removed. Please see our prior authorization grid to confirm whether a service requires a prior authorization. 

“Get one.” That’s it, plain and simple. As part of our annual anti-flu campaign, PacificSource is asking for your help in conveying the importance of getting vaccinated...

Updates on Existing Criteria: November 2020. The following changes to criteria are effective November 22, 2020: Preauthorization Criteria – Clinical Updates Burosumab – update to include new indication Ilaris – update criteria for indication of Still’s...

See our FAQ, COVID-19 Provider Relief Plan and Other Frequently Asked Questions (pdf), for answers to questions we’ve received from our provider community in response to the COVID-19 Provider Relief Plan. The Provider Relief Plan supports contracted providers in this time of crisis and reduces...

Updates on Existing Criteria: October 2020. The following changes to criteria are effective October 22, 2020:
Preauthorization Criteria – Clinical Updates Dupilumab – update age restriction and dosing Histrelin – clarify baseline estradiol and...

Teledentistry: what it is, and how it can help.

In our effort to support providers, we've compiled COVID-19-related answers to the most commonly asked questions about coding instructions, reimbursement provisions, telehealth, and more. We want to help. Download the FAQ.

Beginning August 3, 2020, some exciting updates to the InTouch for Agents (ITA) web portal will make managing your small group proposals and quotes easier. Once the enhancements launch, you will be able to: Generate a proposal with age-banded and tiered rates. ...