PacificSource

Claims Address PO Box 7068, Springfield, OR  97475
Commercial Claims EDI ID 93029
Referrals & Authorizations Phone 888-691-8209
Referrals & Authorizations Fax 541-225-3625
Customer Service Phone 888-977-9299
Customer Service Fax 541-225-3631
Provider Relations Representative Nicole Carcich
Provider Relations Representative Phone 503-210-2539
Provider Relations Representative Email [email protected]
Commercial Provider Directory http://providerdirectory.pacificsource.com/
Medicare Provider Directory https://medicare.pacificsource.com/Search/Provider
Commercial Contracted Plans Billings Clinic Employee Health Plan
Prime SmartAlliance
SmartHealth (Idaho Members)
SmartHealth (Oregon Members)
BrightPath
Medishield PSN
PSN
SmartChoice
SmartHealth (Montana Members)
UO Student Health Plan
Medicare Contracted Plans Essentials Choice Rx 14 HMO-POS
Essentials HMO Plans
Explorer PPO Plans
Additional information
  • Claim research requests must be sent via email to mailto:[email protected].
  • All Claim Research Request emails must be accompanied by the attached Claim Research Request form.
  • For multiple claim requests (3 or more affected claims), the list of claims must be attached on an excel worksheet.
  • Due to the process workflow, if a Claim Research Request Form is incomplete or if multiple claims are not listed on an attached excel sheet, the request will be returned to the provider for completion.
  • Any questions regarding the Claims Request, will be addressed by the claims analyst, who will reach out to the contact person listed on the Form.

Please be sure to include the name, email and phone number of the appropriate person who is familiar with the claim situation.

Download –> Claim Research Request form

Download –> Excel Spreadsheet for Multiple Claims (3 or more)