Overview
PacificSource is a company that offers health insurance plans for people and families, as well as for small and large employers. They have a variety of plans including ones for individuals, families, Medicare (for seniors or people with certain disabilities), Medicaid (for those with limited income), and dental coverage. They make it easy to get care by offering services like no need for referrals to see specialists, access to doctors by phone or video anytime, and lots of options to find care within their network. They also have mental health support, a handy online member portal called InTouch to manage your insurance details, and customer service real people you can talk to without going through automated systems. Plus, if your job offers it, they have programs to help you save money on healthcare costs. Overall, they focus on making health insurance simple and accessible for their members.
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The information was directly obtained from the main website of PacificSource, which clearly explains the company's offerings and consumer-friendly features in straightforward language.
How to Get a PacificSource Refund: Step by Step
If you purchased through PacificSource Membership Services:
- Contact PacificSource Membership Services by phone at 800-591-6579 or email [email protected].
- Request a refund for unused premium due to cancellation or premium overpayment.
- If the refund is due to cancellation, note that refunds are processed automatically within 30 days and do not require additional action, but you can confirm the refund status via contact.
- If refund is due to overpayment, make a written or email request specifying the overpayment details, including your member ID and billing information.
If you purchased through PacificSource Administrators Refunds (check or money order refunds):
- Prepare a check or money order payable to PacificSource Administrators.
- Complete the Refund Submission Form available on pacificsource.com.
- Mail the check or money order together with the Refund Submission Form to:
PacificSource Administrators Refunds, PO Box 70168, Springfield, OR 97475. - Send photocopies of documentation; do not send originals.
- Contact customer service at (541) 485-7488 or (800) 422-7038 for questions or assistance.
If you purchased through Commercial, Medicare, or Oregon Health Plan Medicaid:
- Fill out the Contested Refund Form found on pacificsource.com (PDF available).
- Include your personal information: last name, first name, member ID, claim number, date of service, and provider name.
- Provide reason(s) for refund review such as diagnosis, date of service, patient info, procedure code, or provider info with supporting documents.
- Send the completed form, copies of the refund request, and any supporting documentation to the appropriate address based on your plan type:
- Commercial plans: PacificSource Health Plans, Attn: Refunds, PO Box 7068, Springfield, OR 97475; Fax: 541-225-3634
- Medicare plans: PacificSource Community Health Plans (Medicare), Attn: Refunds, PO Box 7068, Springfield, OR 97475; Fax: 541-225-3634
- Oregon Health Plan (Medicaid): PacificSource Community Solutions (Medicaid), Attn: Refunds, PO Box 7068, Springfield, OR 97475; Fax: 541-322-6438
- If you have questions, contact your PacificSource Provider Service Representative or email [email protected].
How to Contact PacificSource
If you need assistance, here’s how you can get in touch with PacificSource support team:
Tips and Tricks for Getting a PacificSource Refund
- Be persistent with multiple follow-ups by phone or email until you get a clear response.
- Use clear, polite but firm language stating the issue and the resolution you want.
- Record all interaction details including dates, times, names, and what was discussed or promised.
- Ask to speak to a supervisor or higher authority if the initial customer service reps do not resolve the issue.
- Make contact early in the week or mid-morning for better chances of attention and faster response.
- Use specific billing or policy details in your communication to show you understand your situation and strengthen your case.
- If your refund request is denied, ask for the formal appeal process and pursue it diligently.
- Maintain consistent contact but be patient; persistence over time usually works better than one-off requests.
- Consider cautiously using social media or public forums to gently pressure the company for a response if normal channels fail.
Why Do People Request Refunds from PacificSource
- Incorrect refund request disputes
- Corrections related to diagnosis
- Corrections related to date of service
- Issues with Explanation of Payment (EOP)
- Errors in patient information
- Errors in procedure code (CPT or CM)
- Mistakes in provider information
- Preapproval, precertification, or prior authorization issues
- Modifier changes needing explanation, such as Modifier 59 requiring distinct and separately identifiable service justification
- Other unspecified reasons with clarifications or special instructions
PacificSource Refund Script
Script
Copy
Dear PacificSource Customer Service,
I hope this message finds you well. I am writing to request a refund regarding a charge that appeared on my recent billing statement. Unfortunately, this charge was unexpected and I believe it to be an error or an accidental charge.
Given the circumstances, I kindly ask for a thorough review of my account and a refund for the amount charged. I appreciate your attention to this matter and look forward to your prompt response.
Thank you for your assistance.
Sincerely,
[Your Name]
PacificSource Refund Policy
PacificSource's refund policy involves initially sending a refund request to providers, with follow-up reminders at 30 and 60 days if the refund is not received. After 60 days, any overpayment may be auto-recovered from the next payment scheduled, while specific procedures apply to Idaho providers for immediate auto-recovery.
The Easiest Way to Get a PacificSource Refund
If you’re frustrated trying to get a refund from PacificSource—or if you didn’t even realize you were being charged—Chargeback can help. Chargeback is a personal subscription manager that automatically detects hidden, recurring charges like Netflix, Hulu, and hundreds of others. With one click, we can cancel unwanted subscriptions, flag suspicious billing, and even initiate refund requests on your behalf. No more waiting on hold or navigating confusing help pages. Just connect your bank or card account, and we’ll take care of the rest.
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Editorial Note: These articles reflect the opinions of Chargeback's writers. Everyone's situation is unique; therefore, it is important to conduct your own research and note that our self-help tools are not guaranteed to help with any specific problem.
