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Get Pacificsource Corrected Claim Form

Review your Explanation of Payment EOP to see if the second processing is included. Return the Corrected Claim Form to PacificSource Health Plans Claims Department Research Analyst PO Box 7068 Springfield OR 97475-0068 Fax 541 225-3634 Questions If you have any questions about corrected claims please feel free to contact your Provider Network Department at 541 684-5580 or toll-free at 800 624-6052 ext 2580 or by e-mail at ProviderServiceRep pacif.

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