Term Date: 12/31/2025
Access client website for possible features such as benefits & eligibility and claims payment status.
tpa.pacificsource.com| For Benefits, Eligibility or Claims Status call: | PacificSource | 855-896-5208 |
| For Medical/Utilization Management service, call: | Call Center | 888-977-9299 |
| Submit Claims To: | PACIFICSOURCE HEALTH PLANS |
| DRG Contracted Hospitals: | First Choice Health Network |
Service Area Definition:
Washington (excluding Pacific, Wahkiakum, Cowlitz, Clark, Skamania, and Klickitat Counties).
| Group Name | Group Number |
|---|---|
| LLOYD ELECTRIC LLC | G0045950 |
| LMENT LLC | G0045370 |
| LOAD PRO INC | G0042682 |
| LOAF LLC | GE000780 |
| LOCAL BUILDERS AND BLINDS LLC | G0045016 |
| LOCATI ARCHITECTS LLC | G0043383 |
| LOCH ELECTRIC | G0037374 |
| LOCI ARCHEITECTURE DESIGN LLC | G0046505 |
| LOCKWOOD VETERINARY SERVICE | G0036681 |
| LOHA INVESTMENTS | G0035662 |
| LONE PEAK CAREGIVERS | G0044814 |
| LONE PEAK VETERINARY HOSPITAL | G0043465 |
| LONE PINE BUILDERS INC | G0037962 |
| LONE PINE LANDSCAPING | G0037919 |
| LONE ROCK RESOURCES | G0037107 |
| LONE TREE SENIOR LIVING | G0043627 |
| LONG TOM WATERSHED COUNCIL | G0033709 |
| LONGLET DENTAL WORKS LLC | GE000648 |
| LOOKAHEAD ADVISORY | G0045987 |
| LOOKING GLASS COMMUNITY SERVICES | G0041496 |