Payer ID
93029
93029 is the main Health Plans ID; 20377/20416 appear for certain product lines — confirm by product.
Timely Filing Limit (TFL)
Encouraged within 90 days; accepted up to 365 days from date of service
Appeal Window
60 calendar days from the coverage determination date
Clearinghouse
Availity; Office Ally
Provider Services
866-373-7053
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
PacificSource Health Plans, P.O. Box 7068, Springfield, OR 97475-0068
Provider Portal
https://pacificsource.com/providers
Regional commercial plan serving OR, ID, MT, and WA; provider self-service via InTouch.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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