Physician and Provider Manual

The PacificSource Physician and Provider Manual is your desktop reference for information about PacificSource policies and procedures. It can also be used as a training tool when familiarizing new employees to PacificSource. Updates are announced in The ProviderSource newsletter and on the For Providers - Welcome page of this Web site.

Please take a moment to look over the sections that relate to your responsibilities. For your convenience, the Table of Contents document contains active links to each separate chapter.

If you have any questions or suggestions regarding this manual, you are welcome to contact your PacificSource Provider Service Representative.

Complete Provider Manual 

For a faster download time and to easily find what you're looking for, you can also follow the links below to view a specific chapter of the Provider Manual.

Table of Contents

Section 1    Introduction

Section 2    Who to Contact

Section 3    Glossary of Terms

Section 4    Physicians and Providers

Section 5    Referrals

Section 6    Medical Management

Section 7    Pharmacy

Section 8    Products

Section 9    Members

Section 10    Filing Claims

Section 11    Billing Requirements

Section 12    Publications and Tools

Section 13    Covered Expenses, General Exclusions, and Limitations