Latest Notices and Updates
Locum Tenens Policy Updated
PacificSource will now accept modifier Q5/Q6 locum tenens claims. Our Provider Network department will monitor all claims that come in with Q5 or Q6 modifier to ensure they are within the locum tenens claim guidelines. A locum tenens arrangement is made when a participating provider must leave his or her practice temporarily due to illness, vacation, leave of absence, or another reason.
A locum tenens who provides coverage for a participating provider for up to 60 days does not require credentialing with PacificSource. If the locum tenens leaves the practice and then returns to the practice for an additional cycle, a new 60-day cycle will be allowed before credentialing is required. However, if the locum tenens provides coverage longer than 60 consecutive days, the applicable practitioner credentialing application is mandatory for claims consideration.
Locum tenens claims billed after the 60-day period without the completion of credentialing will be denied. Claims would need to include the names of the locum tenens or the servicing provider for the claim to pay according to member’s benefits and contractual guidelines.
Discounted 2016 Code Books Now Available
As a participating provider, you can preorder code books through PacificSource at a discounted rate—and delivery is free! To order, simply complete the 2016 Code Book order form and mail it to us with your check. Full payment is required prior to delivery.
Questions about the Affordable Care Act? You'll find information, FAQs, and links to online resource in our Healthcare Reform Resource Center.