News and updates
COVID-19 Provider Relief Plan FAQ
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...
October 2020 Drug List Change Notification
Updates on Existing Criteria:
October 2020. The following changes to criteria are effective October 22, 2020:
Preauthorization Criteria – Clinical Updates...
Preauthorization Criteria – Clinical Updates...
How Teledentistry can add value to your practice
Teledentistry: what it is, and how it can help.
COVID-19 Benefit and Reimbursement FAQ
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...
September 2020 Drug List Change Notification
Updates on Existing Criteria
Preauthorization Criteria – Clinical Updates
Ferriprox and Exjade & Jadenu – Combine policies to create “Chelating Agents”
Histrelin – Update...
Multi-Factor Authentication for OneHealthPort
Starting August 11, 2020, InTouch for Providers users will see the addition of Multi-Factor Authentication (MFA) to OneHealthPort’s Single Sign-On (SSO) service.
Effective August 16, 2020, the 835 PLB Segment Will Include the Patient Account Number
If you are currently enrolled to receive Electronic Remittance Advice (835), this enhancement will result in additional data you receive via 835 transaction on corrected claims.
The following...
Drug List Change Notifications Posted For July
The notification contains changes for the Preferred and state-based lists, as well as our medical utilization management criteria (preauthorization, step therapy criteria). See the July 2020 Drug...
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines
Effective for dates of service on and after September 12, 2021, the following updates will apply to the AIM Advanced Imaging Clinical Appropriateness Guidelines. Part of the AIM guideline annual...
PacificSource Helps to Ease Strain on Providers
As we confront the challenges of COVID-19, we remain focused on how best to serve employers, members, and healthcare providers. Collaboration and partnerships are more important than ever.
In our...