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PacificSource Community Solutions

dentalmedical

Summary

PacificSource Community Solutions is a dental and medical payer operating in Oregon. Claims route under payer ID 20416, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
20416Also seen as 11091, 4794, PSCSO, PSCSOL
Also known as
PacificSource (Medicaid)
Service area
OR

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for PacificSource Community Solutions?
The payer ID for PacificSource Community Solutions is 20416. Alternate IDs seen across clearinghouses include 11091, 4794, PSCSO, PSCSOL.
Does PacificSource Community Solutions require ERA enrollment?
Yes. PacificSource Community Solutions requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does PacificSource Community Solutions cover?
PacificSource Community Solutions operates in OR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does PacificSource Community Solutions offer?
PacificSource Community Solutions covers dental and medical.
Can I submit claims to PacificSource Community Solutions electronically?
Yes. PacificSource Community Solutions is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Related payers

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.