What's New for Providers

InTouch: Online Tools for Providers

Now you can verify patient eligibility and check on claims status, EOPs, preauthorizations, referrals, and much more online.

Log in as a registered user

Register for a password

View tutorial for new InTouch system - NEW!

PacificSource Formularies Available via Epocrates^®

You can now access our Preferred Drug List and Value Drug List through Epocrates® drug reference software. By downloading the Epocrates application to your handheld device or via the Internet, you can check formulary status, preauthorization requirements, formulary alternatives, generic substitutes, and quantity limits. The software also features a drug reference with indication, dosing, contraindications, drug interactions, adverse reactions, and cost information.

Spring 2008 ProviderSource

Peruse the latest issue of our quarterly provider newsletter for information about our InTouch system upgrade, administrative changes, our 75th anniversary, and much more.

Provider Manual Updates

Revisions were recently made to the following sections of the PacificSource Physician & Provider Manual:

• Credentialing (4.2)

• Filing Claims (10.2, 10.3, 10.11)

• Glossary (3)

• Member Identification (9.2)

• Product Descriptions (8.1)

• E&M Billing Guidelines (11.6.3)

If you have any questions or suggestions for the manual, please contact your Provider Service Representative.

Mental Health & Chemical Dependency Parity

PacificSource manages mental health and chemical dependency treatments consistent with Oregon’s mental health parity regulations. We’ve developed the following materials to address the most common concerns regarding the new parity regulations:

Covered and non-covered diagnoses and treatments—quick reference showing DSM IV codes.

Behavioral Health Treatment Plan form—to submit clinical information

Chemical Dependency Treatment Plan form—to submit clinical information

Do You Have Extended Office Hours?

We'd like to include specific information about urgent care, immediate care, and clinics with extended hours in our Provider Directory. You can help us by taking our brief Extended Hours Information survey.

Frequently Asked Questions About the NPI

For your convenience, we've put together this Frequently Asked Questions sheet to better explain the purpose of your NPI. If you have not yet applied for your NPI, you can do so by visiting https://nppes.cms.hhs.gov or calling (800) 465-3203. If you have already received your NPI, please take a moment to forward it to us at providernet@pacificsource.com.

Submit your claims online electronically

To learn more, visit our Frequently Asked Questions page. If you’re already registered with Payer Connection, login here.

HIPAA Update

We've posted a page showing the current status of our electronic transaction capabilities with respect to HIPAA file transfer standards. You can also download our Transaction Companion Guides and Benefit Enrollment & Maintenance Guide.

Unless otherwise stated, all text and images © 2008 PacificSource. All rights reserved.