All Community Solutions (Medicaid) claims with 2021 dates of service are being held while we validate correct pricing and benefit configuration. We anticipate these claims will be released by January 25, 2021.
Please reach out to your Provider Service Representative should you have any questions
Reminder, effective in January 2019, all PacificSource Medicare Advantage (MA) plans considered the specialties below as eligible for our members.
Licensed Professional Counselors (LPC)
Licensed Clinical Professional Counselor (LCPC)
Licensed Marital and Family Therapists (LMFT)
Licensed Mental Health Counselors (LMHC)
PacificSource does not require the vaccine CPT to be billed, as the vaccines are supplied by the government.
PacificSource is responsible for meeting standards for multiple federal and state regulations as well as accrediting standards and fulfilling obligations of contracts with various groups. As a contracted entity of PacificSource, you are also responsible for complying with these requirements and must ensure your contracted entities comply with applicable laws and regulations. . If you currently utilize or plan to work with an offshore subcontractor that uses member pr
All Medicare Advantage claims with 2021 dates of service are being held while we validate correct pricing and benefit configuration. We anticipate these claims will be released by January 25, 2021.
The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1 through December 31. The Consolidated Appropriations Act, 2021, signed into law on December 27, extends the suspension period to March 31, 2021.