{"id":10844,"date":"2022-06-16T16:09:06","date_gmt":"2022-06-16T10:39:06","guid":{"rendered":""},"modified":"2022-06-16T10:44:13","modified_gmt":"2022-06-16T10:44:13","slug":"pacificsource-corrected-claim-form","status":"publish","type":"post","link":"https:\/\/raizofsuccess.com\/pacificsource-corrected-claim-form\/","title":{"rendered":"Pacificsource Corrected Claim Form"},"content":{"rendered":"<div class=\"7979028d4be8ff3e2407fa3d30e6a2df\" data-index=\"1\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6607729295455715\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- Display Square Ad Responsive -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6607729295455715\"\r\n     data-ad-slot=\"7444233376\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n\n<\/div>\n<p>Are you trying to find information about <strong>Pacificsource Corrected Claim Form<\/strong> ? Here, you can find the list of sources that give you the best information available.<\/p>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Documents &#038; Forms | PacificSource<\/h3>\n<p class=\"ugb-header__subtitle\">The forms and materials available on this page are not specific to any particular plan. If you have questions about your plan&#8217;s coverage, please check your\u00a0&#8230;<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/pacificsource.com\/resources\/documents-and-forms\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">PSCS Provider Corrected Claim Form<\/h3>\n<p class=\"ugb-header__subtitle\">Corrected Claim Form. A corrected claim is a claim that has been processed and needs to be corrected. Please type or print in ink. Patient Information.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/communitysolutions.pacificsource.com\/Library\/General\/Documents\/ProviderCorrectedClaimForm.pdf\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Provider Corrected Claim Form<\/h3>\n<p class=\"ugb-header__subtitle\">PacificSource Community Health Plans is an HMO\/PPO plan with a Medicare contract. Y0021_PVDR880_Plan Approved 09202011. Corrected Claim Form.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/medicare.pacificsource.com\/Library\/General\/Forms\/Corrected_Claim_Form.pdf\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Documents and Forms &#8211; PacificSource Community Solutions<\/h3>\n<p class=\"ugb-header__subtitle\">Clean Claims Provider Tips and Tricks \u00b7 Community Health Worker Certification &#8230; COVID-19 Benefit and Reimbursement Policy FAQ &#8230; Corrected Claim Form<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/communitysolutions.pacificsource.com\/Providers\/DocumentsAndForms\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Documents and Forms &#8211; PacificSource Medicare<\/h3>\n<p class=\"ugb-header__subtitle\">&#8230; Forms \u00b7 Care Coordination and Case Management Referral Form \u00b7 Contested Refund Form \u00b7 Corrected Claim Form \u00b7 CVS Caremark Mail Order Prescription\u00a0&#8230;<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/medicare.pacificsource.com\/Providers\/Documents\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">a Claim<\/h3>\n<p class=\"ugb-header__subtitle\">PacificSource may accept the late claim. However, please be aware &#8230; claim. The first step is to complete a Prescription Drug Claim form.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/www.deschutes.org\/sites\/default\/files\/fileattachments\/human_resources\/page\/890\/ps_how_to_submit_a_claim.pdf\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Provider Manual<\/h3>\n<p class=\"ugb-header__subtitle\">This record must be made available to PacificSource Medicare upon request. It is not necessary to provide this information on the claim form.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/medicare.pacificsource.com\/Library\/General\/Documents\/ProviderManual.pdf\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Provider Manual<\/h3>\n<p class=\"ugb-header__subtitle\">&#8230; 10.5 Corrected Claims Submission. &#8230; PacificSource has prepared this Provider Manual for our &#8230; PacificSource Corrected Claim Form.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/www.pacificsource.com\/sites\/default\/files\/2020-05\/PRV1_0420_ProviderManual.pdf\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Provider Appeal Request Form<\/h3>\n<p class=\"ugb-header__subtitle\">Provider Appeal Form. IMPORTANT: Do NOT use this form for reconsideration of untimely or duplicate claims, to submit corrected claims, or dispute.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/medicare.pacificsource.com\/Library\/General\/Forms\/Provider_Appeal_Form.pdf\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Electronic Claims &#8211; PacificSource Administrators<\/h3>\n<p class=\"ugb-header__subtitle\">Electronic billing saves your office money by eliminating the cost of forms, postage, and staff time. Maintenance of high claim quality standards.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/psa.pacificsource.com\/PSA_Electronic_Claims.aspx\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">COMPLIANCE &#038; PROGRAM INTEGRITY PLAN<\/h3>\n<p class=\"ugb-header__subtitle\">&#8230; PacificSource maintains Program Integrity policies and procedures that demonstrate a commitment to prevent, detect and correct incidents of\u00a0&#8230;<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/www.communitysolutions.pacificsource.com\/Document\/PSC_FWA_Prevention_Handbook\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Provider Manual DRAFT March 2022 (00180410).DOCX<\/h3>\n<p class=\"ugb-header__subtitle\">Items 18 &#8211; 28 &#8230; Section 2 \u2014 Claims Overview Revised&#8230;&#8230;&#8230;. 11. Claims Submission Instructions by Claim Form Type &#8230;&#8230;. 11. National Correct Coding\u00a0&#8230;<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/www.medmutual.com\/-\/media\/31EAF8B684494C129D3A5941086F40F5.ashx\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">HIPAA Claims Adjustment Reason Codes &#8211; Facets (last updated 29 &#8230;<\/h3>\n<p class=\"ugb-header__subtitle\">Please submit corrected claim with valid NDC\/procedure code. &#8230; This service is billed using the incorrect claim form or format.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/www.modahealth.com\/pdfs\/hipaa_exCodes.pdf\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">Oregon Health Authority : OHP Fee-for-Service Fee Schedule &#8230;<\/h3>\n<p class=\"ugb-header__subtitle\">3\/18\/2022, Medical-Dental, March 2022 Fee Schedule &#8211; CSV (corrected 5\/10\/2022) &#8230; For reimbursement rates for services to OHP CCO or dental plan members,\u00a0&#8230;<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/www.oregon.gov\/oha\/hsd\/ohp\/pages\/fee-schedule.aspx\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-ugb-header ugb-header ugb-1f9ee9b ugb-header ugb-header--v3 ugb-header--design-basic ugb-main-block\" id=\"\">\n<style>.entry-content a { color: #2091e1; } .ugb-header.ugb-header--v3:not(.ugb-header--design-plain) .ugb-header__item { box-shadow: 0 5px 5px 0 rgba(18,63,82,.035), 0 0 0 1px rgba(176,181,193,.2);\n                  background-color: #F3F3F3; border-radius: 12px; overflow: hidden; padding: 25px 10px 10px 25px;} .ugb-1f9ee9b .ugb-header__title{color:#ff6900;text-align:left !important}.ugb-1f9ee9b .ugb-header__buttons{justify-content:center !important}.ugb-1f9ee9b .ugb-inner-block{text-align:left} h3 { font-size: 22px; line-height: 1.3; } <\/style>\n<div class=\"ugb-inner-block\">\n<div class=\"ugb-block-content\">\n<div class=\"ugb-header__item\">\n<div class=\"ugb-content-wrapper\">\n<h3 class=\"ugb-header__title\">About Form 8889, Health Savings Accounts (HSAs) | Internal &#8230;<\/h3>\n<p class=\"ugb-header__subtitle\">&#8230; Information about Form 8889, Health Savings Accounts (HSAs), including recent updates, related forms and instructions on how to file.<\/p>\n<div class=\"ugb-header__buttons\">\n<div class=\"ugb-button-container\"><a class=\"ugb-button1 ugb-button ugb-button--size-normal\" href=\"https:\/\/www.irs.gov\/forms-pubs\/about-form-8889\" rel=\"\"><span class=\"ugb-button--inner\">Read more<\/span><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>                  Hope, you got the information you are looking for regarding Pacificsource Corrected Claim Form. If not, share your queries in the comment section.<\/br><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Are you trying to find information about Pacificsource Corrected Claim Form ? Here, you can find the list of sources that give you the best information available. Documents &#038; Forms<br \/> \u2026 <a href=\"https:\/\/raizofsuccess.com\/pacificsource-corrected-claim-form\/\">Read More &raquo;<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","footnotes":""},"categories":[65],"tags":[],"featured_image_urls":{"full":"","thumbnail":"","medium":"","medium_large":"","large":"","1536x1536":"","2048x2048":"","big-featured-image":"","small-featured-image":"","related-featured-image":"","sidebar-featured-image":"","grid-featured-image":"","aff-booster-recent-thumbnails":""},"post_excerpt_stackable":"<p>Are you trying to find information about Pacificsource Corrected Claim Form ? Here, you can find the list of sources that give you the best information available. Documents &#038; Forms | PacificSource The forms and materials available on this page are not specific to any particular plan. If you have questions about your plan&#8217;s coverage, please check your\u00a0&#8230; Read more PSCS Provider Corrected Claim Form Corrected Claim Form. A corrected claim is a claim that has been processed and needs to be corrected. Please type or print in ink. Patient Information. Read more Provider Corrected Claim Form PacificSource Community Health&hellip;<\/p>\n","category_list":"<a href=\"https:\/\/raizofsuccess.com\/category\/p\/\" rel=\"category tag\">P<\/a>","author_info":{"name":"Stephen","url":"https:\/\/raizofsuccess.com\/author\/stephen\/"},"comments_num":"0 comments","jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/posts\/10844"}],"collection":[{"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/comments?post=10844"}],"version-history":[{"count":1,"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/posts\/10844\/revisions"}],"predecessor-version":[{"id":10954,"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/posts\/10844\/revisions\/10954"}],"wp:attachment":[{"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/media?parent=10844"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/categories?post=10844"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/raizofsuccess.com\/wp-json\/wp\/v2\/tags?post=10844"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}