PacificSource Medicare
PacificSource Medicare is a Medicare Advantage plan operating in Idaho, Montana, and Oregon. For an ASC, what matters isn't the logo. It's how PacificSource Medicare pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete PacificSource Medicare analysis
Tell us where to send it. Our team will prepare an analysis of PacificSource Medicare covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How PacificSource Medicare pays
See how PacificSource Medicare reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
PacificSource Medicare's presence spans Idaho, Montana, and Oregon. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for PacificSource Medicare and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive PacificSource Medicare's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking PacificSource Medicare up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with PacificSource Medicare
- Payer ID
- 20377 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to PacificSource Medicare through a clearinghouse.
- Eligibility verification
- Coverage and benefits for PacificSource Medicare members are verified before the date of service, through a clearinghouse using payer ID 20377or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with PacificSource Medicare directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of PacificSource Medicare the way it pays.
- What is PacificSource Medicare's payer ID?
- PacificSource Medicare's electronic payer ID is 20377. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to PacificSource Medicare through a clearinghouse.
- How do ASCs verify eligibility for PacificSource Medicare members?
- Eligibility and benefits for PacificSource Medicare members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 20377) or through the payer's provider portal.
- Does PacificSource Medicare require prior authorization for ASC procedures?
- Prior-authorization requirements for PacificSource Medicare are set per plan and per procedure. Confirm whether an authorization is required with PacificSource Medicare directly before the date of service.
- What type of payer is PacificSource Medicare?
- PacificSource Medicare is a Medicare Advantage plan operating in Idaho, Montana, and Oregon.
- How does PacificSource Medicare compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where PacificSource Medicare pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is PacificSource Medicare paying my ASC below market?
- Put your own PacificSource Medicare contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.