Here you will find answers to commonly asked questions. Click the question to show the answer. As always, if you have further questions please contact us.
First, you need to enter a city and state, or a zip code. This is the only field that is required and allows us to find the providers within a certain distance of the location you enter. Next, you can choose to narrow your search by the fields available.
Yes, simply begin typing in the clinic name in the Provider or Group Name textbox under the Narrow your search section of the main search screen.
Simply enter a street address in the search fields and then limit the driving distance to the radius you are willing to travel. Keep in mind that if you search by City and State, or Zip Code, we will use the center point for the city or zip code as the center of the radius.
Use our online Provider Directory to find a PacificSource network vision provider. In the Specialty Category dropdown, choose Practitioner Categories > Vision Providers to find PacificSource vision providers.
If you’re not sure what vision services your plan covers, see your policy, member handbook, or contact Customer Service.
The top level category, called “Specialty Category,” contains the broad field of practice for a provider. To see the specific types of specialties, also choose a “Specialty” underneath it. For example, you’ll find Midwives as a specialty under the Neonatal category.
Search for “Urgent Care Facilities” as the Specialty Type and then "Urgent Care Providers" as the Specialty.
Take out your PacificSource ID Card. You’ll find the name of your plan or network on your card. In order to get the most from your benefits, you’ll want to see a provider that accepts your specific plan or participates in your plan's network.
If your provider says they are in our network, but you can’t find them in the directory, please call our Customer Service Department for assistance. Click here to contact us.
Use the "Plan or Network" drop down menu to narrow your search to include only providers or hospitals that participate in your network.
Once you’ve done a search and seen your results, you can click the “Change My Search” link to add more specific criteria. If you searched for a Specialty Category, for example, you might consider adding a further Specialty to make your results more specific.
Yes, in your search results, next to each provider or facility, you’ll have the option to click “Text me this provider’s information” or “Email me this provider’s information.” You’ll be texted or emailed the provider’s name, address, and contact information, a list of PacificSource plans they accept, and a map to their location.
Yes, once you’ve done a search, you’ll see an option in the gray bar at the top of your screen that says, “View map of results.” This will plot the location of each provider on a map. From this map, you can further calculate the drive time or get directions.
To print a directory, click on the "Print a Directory" button on the left menu. Next, select your plan or network and then click the "Print Directory" button. The printed directory is current when you print it, but changes are made on a regular basis to our provider network.
If your plan uses a network with more than one tier of participating providers, you’ll see a 1 or a 2 next to the provider’s name. You’ll get the most value from your plan when you see a tier 1 provider, but you’re welcome to see a tier 2 provider if you don’t mind paying a little more for some services.
The same is true when selecting a Primary Care Provider (PCP). If your plan requires you to select a Primary Care Provider (PCP), you’re welcome to choose from either tier, but you’ll get the most value by choosing a tier 1 PCP.
This directory is updated on a daily basis.
PacificSource Health Plans has an open network to providers who meet our minimum standards for credentialing. On an annual basis, PacificSource Health Plans reviews Primary care type providers, many specialties including Obstetrics, Dermatology, Allergy and Asthma, Orthopedic, Oncology, Psychiatry and Psychology against our established standards. Additional specialists are included if they meet our credentialing requirements. Minimum standards of availability measurements include provider to patient ratios, which vary based on county and population. Rural, Urban and Suburban counties are reviewed with separate standards based on the county classification. Members who reside in rural areas will likely have more miles to drive compared to members who reside in urban and suburban areas.
PacificSource Health plans extends a contract to any willing eligible provider; if network adequacy is already met, then we may choose to contract exclusively with a certain provider group for services (examples may include hospital, DME, and Home IV services).
PacificSource Health plans does not currently use quality measures to determine our network, however, providers and facilities are required to meet NCQA minimum credentialing standards. PacificSource Health plans may share quality measures with our providers and collectively establish quality measures and/or goals.