Also covers / subsidiaries: PacificSource
Electronic 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 Gateway
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.
Direct ANSI X12 electronic transaction support verified for PacificSource Health Plans.
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under PacificSource Health Plans.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Pacific Source Health Plan | 93029 | Par | None | 837P837I270/271Dental |
| Pacificsource Health Plans | 93029 | Par | Required | 837P837I835 ERA |
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Aethera's billing specialists work PacificSource Health Plans every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.
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