Please be aware that all office services submitted with dates of service on or after May 1, 2017, must be billed under the service provider, in an ANSI 837P format (CMS 1500), and with the “office” place of service (POS).
Effective May 1, 2017, PacificSource will no longer accept provider-based billing of office services, regardless of the office location. We will deny as noncovered any office services billed on a UB claim form, and you will need to resubmit them in the correct format.
Claims in the following formats are not reimbursable:
Thank you for your cooperation. If you have any questions about this change, you’re welcome to contact your Provider Service Representative, or our Provider Services Department:
Email: providerservicerep@pacificsource.com
Phone – in Idaho and Montana: (541) 246-1459
Phone – in Oregon: (541) 246-1457