Prior Authorization changes for 2024
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