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 |
|---|---|
| THIRD STREET FLOOR COVERINGS LLC | GE000828 |
| THOMAS HAMMER PEDIATRICS LLC | G0040403 |
| THOMAS LANDSCAPE LLC | G0035537 |
| THOMAS MARK SCHILL DC PC | G0037799 |
| THOMAS RANCH INC | G0046039 |
| THOMASON AUTO GROUP LLC | G0039751 |
| THOMPSON GROUP | G0040013 |
| THOMPSON HOMES INC | G0045822 |
| THORSON ELECTRIC LLC | G0042540 |
| THREE BROTHERS PLUMBING NFIB | G0034626 |
| THREE FIRS COUNSELING LLC | G0044497 |
| THREE FORKS SADDLERY | G0037387 |
| THREE FORKS SCHOOL DISTRICT | G0045489 |
| THREE PEAKS AUTO SERVICE | G0045846 |
| THREE RIVERS BANK OF MONTANA | G0045714 |
| THREE RIVERS RADIOLOGY ASSOC | G0046255 |
| THREE SIGHTS INDOOR SHOOTING RANGE | G0035156 |
| THREE SISTERS IRRIGATION DISTRICT | G0044952 |
| THREE SISTERS SLEEP | G0046227 |
| THREE VALLEYS RANCH LLC | G0011370 |