Updated September 1, 2026
Verify PacificSource Community Solutions eligibility in real time.
PacificSource Community Solutions supports electronic real-time eligibility. Send the check to payer ID 20416 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: PacificSource (Medicaid)
Seconds
The same PacificSource Community Solutions check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
2 billing names
PacificSource Community Solutions shows up on cards under 2 names. Every one routes to payer ID 20416, and so do 4 older payer IDs still printed on cards. No guessing which card this is.
4 PacificSource plans
verify in real time through Valian. One setup covers the whole PacificSource family, PacificSource Community Solutions included.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying PacificSource Community Solutions by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 20416, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a PacificSource Community Solutions eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where PacificSource Community Solutions reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID 20416
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, PacificSource Community Solutions included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What PacificSource Community Solutions supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically a few weeks
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
PacificSource Community Solutions · PacificSource (Medicaid). Older cards may show payer ID 11091, 4794, PSCSO and PSCSOL. All of them route to payer ID 20416.
Payer site: pacificsource.com
How to verify PacificSource Community Solutions, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 20416.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
PacificSource Community Solutions runs Medicaid plans across Oregon. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
PacificSource Community Solutions, for your front desk
Phone numbers, portal and payer IDs, from PacificSource Community Solutions' own provider pages.
- Provider customer service
- 866-373-7053
- Provider portal
- InTouch for Providers
- Payer ID for eligibility
- 20416
- Payer ID for claims
- 93029
Source: PacificSource Community Solutions, dental claims guidelines page and resource center page. Checked September 19, 2026.
PacificSource Community Solutions, quick answers
Does PacificSource Community Solutions support real-time eligibility?
Yes. Eligibility checks to PacificSource Community Solutions clear electronically in seconds through payer ID 20416.
What payer ID do I use for PacificSource Community Solutions?
20416 for eligibility transactions. The same payer also appears on cards as PacificSource (Medicaid).
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does PacificSource Community Solutions require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which PacificSource Community Solutions plans does this cover?
PacificSource Community Solutions runs Medicaid plans in Oregon. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get PacificSource Community Solutions remittances electronically?
Yes. PacificSource Community Solutions sends electronic remittance advice (835) after a multi-step enrollment, typically a few weeks.
What if the patient's card shows a different PacificSource name?
Alternate billing names route to the same payer ID, 20416. The same check covers them.
More questions about verifying PacificSource Community Solutions? Schedule 15 minutes with us and bring your toughest plan.
Check any PacificSource Community Solutions patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Oregon dental payers
29 other payers operating in Oregon also verify in real time, 13 of them with Medicaid plans.
- Advanced HealthDOCSO
- All Smiles Community Oral HealthDENT3
- AllCare Health CCOMRIPA
- Atrio Health PlansATRIO
- Blue Shield of California100935
- BridgeSpan HealthBRIDG
- CareOregon93975
- Cascade Health AllianceCHA01
- Delta Dental of OregonCDOR1
Medicaid plans in Oregon: Advanced Health, AllCare Health CCO, Blue Shield of California, CareOregon, Cascade Health Alliance, Health Share of Oregon, and 7 more.
The PacificSource family in the network
4 PacificSource plans verify in real time through Valian.
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.