COVID-19 Provider Relief Plan:  Effective 3/27/2020

The Provider Relief Plan is to support providers in this time of crisis for dates of service March 27, 2020 - December 31, 2020. Please select the Line of Business/Group Selection on the left for additional details.

Use this authorization grid search to find which codes require prior authorization from PacificSource Health Plans

Choose a Line of Business / Group to begin your search