Payer Information
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PacificSource Community Solutions Medicaid
Payer ID: 20416
Electronic Services Available (EDI)
Professional/1500 Claims
No Enrollment Required
Institutional/UB Claims
No Enrollment Required
Electronic Remittance (ERA)
Enrollment Required - 17 days
Secondary Claims
No Enrollment Required
This insurance is also known as:
Pacificsource OHP
4794
4972
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