All Medicare Advantage claims with 2023 dates of service will be held while we validate correct pricing and benefits. We anticipate these claims will be released by January 16, 2023. Thank you for your patience as we ensure the accuracy of our claims processing.
Please reach out to your Provider Service Representative should you have any questions.
All providers and their staff are required to take complete Compliance & FWA Training annually. Please review PacificSource Code of Conduct and PacificSource Compliance and Program Integrity Plan annually.
Behavioral health criteria changes delayed
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines - Effective April 9, 2023
The Inflation Reduction Act of 2022 improves coverage and lowers out-of-pocket costs of recommended vaccines and insulin for people with Medicare plans.tion Reduction Act of 2022 improves coverage and lowers out-of-pocket costs of recommended vaccines and insulin for people with Medicare plans.
As you may already be aware, Uprise Health, formerly known as Reliant Behavioral Health (RBH), has decided to terminate their contract with PacificSource. Please disregard this notice if you already have a direct contract with PacificSource, or have begun the direct contracting process.
Should you have questions regarding your participation status, please send an email to firstname.lastname@example.org.Read More
Genetic Testing Guideline Changes – Effective March 11, 2023
Thank you for your continued care of our members. We are contacting our providers regarding a recent communication received from Uprise Health, formerly known as Reliant Behavioral Health (RBH). An independent provider association we have historically utilized for contracting some of our Behavioral Health and Alternative care providers. Uprise has decided to terminate their contract with PacificSource. Please disregard this email if you already have a direct con