News and updates
New Provider Payment Dispute (PPD) Process Effective November 1, 2026
To support faster and more consistent resolution of claim payment concerns, a new dedicated Provider Payment Dispute (PPD) process should be used when you believe a claim has been paid...
Better Health Starts with Stronger Communities
Good health goes beyond visiting the doctor. Access to nutritious food, stable housing and preventive care all play an important role in helping...
Why Stable Housing Matters for Better Health
Having a safe, stable place to call home is about more than having a roof over your head. It's an important part of maintaining good health and overall well-being....
New provider support email and resource updates
We recognize that providers rely on timely access to information and support to serve patients and members effectively. To help streamline support and connect providers with the right resources, we...
December 2026 Drug List Change Notification (Commercial)
Updates on Existing CriteriaDecember 2026. The following changes to criteria are effective by December 22, 2026:Prior Authorization...
Over 65? Here’s What to Know About Breast Cancer Screenings
Breast Cancer Awareness Month is a good reminder to check in on your health. But as you get older, you may wonder: Do I still need regular mammograms?The answer depends on your age,...
Continued access to care through St. Charles & Salem Health for Commercial and Medicare Members
Update on St. Charles Health System
We’re happy to share that PacificSource has reached agreements with St. Charles Health System for our Commercial and...
We’re happy to share that PacificSource has reached agreements with St. Charles Health System for our Commercial and...
November 2026 Medicaid Drug List Change Notification
We would like to inform you of changes to our PacificSource Community Solutions formulary and coverage policies.We have recently updated our prior authorization list and coverage...
Montana Market Transition: Information for Providers
PacificSource has made the difficult decision to exit the Montana market for individual and family, employer-sponsored, and Medicare Advantage health plans. This change is part of a...
Continued access to care through St. Charles Health System
We’re happy to share that PacificSource has reached agreements with St. Charles Health System for our Commercial and Medicare plans in 2026 and 2027.There is nothing you...