News and updates

Effective for dates of service on and after March 11, 2023, AIM Specialty Health® (AIM) will transition to an updated set of Clinical Appropriateness Guidelines.  PacificSource has...

Uprise Health, formerly known as Reliant Behavioral Health (RBH), recently announced they are terminating their contract with PacificSource Health Plans. Uprise Health is an independent provider...

To reimburse OHP members who paid your office for OHP Supplemental benefits now retroactively covered, please be sure to bill the member's coordinated care organization (CCO), dental care...

Updates on Existing Criteria January 2023. The following changes to criteria are effective January 22, 2023: Prior Authorization Criteria – Clinical Updates...

The Source is sent to in-network providers, with content ranging from educational articles, trends, resources, and important news for providers. The winter 2022 issue will highlight...

All Claim Status checks must be completed using our secure provider portal, InTouch for Providers.  Please visit OneHealthPort.com to sign up or log in.  For claims status...

Effective 11/11/2022 PacificSource Community Solutions will no longer pay/reimburse for CPT G0279 (Diagnostic digital breast tomosynthesis; unilateral or bilateral). CPT code G0279 has not been an...

Effective for dates of service on and after March 11, 2023, AIM Specialty Health® (AIM) will transition to an updated set of Clinical Appropriateness Guidelines. 
 
PacificSource...

Sharing on behalf of OHA:  Oregon will not renew the longstanding waiver around EPSDT for children. The decision comes as a result of clear feedback from the community, advocates, children's...

Updates on Existing Criteria December 2022. The following changes to criteria are effective December 22, 2022: Prior Authorization Criteria – Clinical Updates...