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Change in Provider Contract Effective Dates - Effective January 1, 2020

12/11/2019

We have some great news!  Effective January 1, 2020, once a provider has been approved through the credentialing process, practitioners and facilities will be effective on the:

  • PacificSource Commercial: Date of approval by the Credentialing Committee, as long as the contract is in effect at the time of credentialing approval. 
  • PacificSource Medicare: Date of approval by the Credentialing Committee, as long as the contract is in effect at the time of credentialing approval and Medicare participation is verified.  If Medicare participation is not able to be verified immediately following credentialing, the provider will be added as participating effective on the date of Medicare eligibility. 
  • PacificSource Community Solutions: Date of approval by the Credentialing Committee, as long as the contract is in effect at the time of credentialing approval and Medicaid participation is verified.  If the Medicaid participation date is after credentialing approval, the provider will be added as participating with the Medicaid participation approval date.

 

Please contact your Provider Service Representative should you have any questions or need further clarification.

 


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