PacificSource
Networks
Providers
Programs
Miscellaneous
100

What are the PS signature colors?

Green and Blue

100

For a Navigator network in, which contract row below is considered INN?

1. ORSHN

2. LGCS

3. VOYOR

LGSC

100

Is a provider with a specialty in Intermal Medicine considered a PCP or Specialist?

PCP

100
Where would you find information about a general release of PHI on a members account?

Transfer --> Member Authorizations

100

On what day are time cards due?

Fridays

200

Who is our COO?

Erik Doolen

200

In Alaska, what network would we utilize for INN benefits?

FirstChoice

200

If a provider is "ineligible" will their claims process towards members out of network benefits?

No

200

What is the name of our phone system?

Avaya

200

Does PS offer Pet insurance for members?

No, only employees

300

Which states are considered direct service areas?

OR, ID, MT, WA

300

If a members plan is Tiered, would Tier 2 be considered OON?

No, just not the more beneficial tier

300

What does ENT stand for?

Ear, nose and throat

300
If a Member ID number starts with a 6, what department are you going to need to transfer the caller to?

Medicare

300

How long has Courtney been with PS?

19 years

400

What is the goal PS has set as a standard Avg. time it takes to answers calls?


30 Seconds

400

For Billings Clinic Eye Clinic, which network row will process at 100%?

BLCLV

400

Can a Physical Therapist be assigned as a PCP?

No

400

Where do we view pharmacy claims?

Caremark

400

Name all CS team leads including dental and PSA

Amanda Osburn

Katrina Lamborn

Darlene Blankenship

Jess Fredrickson

Lorrie Boyer

Chantell Jeffries

Alicia Becker

Brandy Bolduc

500

What was the name of the hospital that founded PacificSource?

Pacific Christian Hospital


500

If a member see's an OON provider, what extra financial impact might they see?

Balance billing

500

What type of provider specializes in colonoscopies?

Gastroenterologist 

500

Where can members sign up to view claims and EOBs?

InTouch
500

If George’s father has four children – Eenie, Meenie, Miney – what is the name of his fourth child?

George

M
e
n
u