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 |
|---|---|
| FUTURESYNC INTERNATIONAL | G0042570 |
| FYR DIAGNOSTICS LLC | G0041350 |
| G & D CHILLERS INC | G0037756 |
| G & D CHILLERS INC | G0037756 |
| G AND S STRUCTURAL ENGINEERS PA | G0019239 |
| G CONDIE PROPERTIES INC | G0042491 |
| G IKOLA INC ALC | G0046206 |
| G OFF LLC | G0045202 |
| G STREET INTEGRATED HEALTH | G0040608 |
| GA & EP PLLC | G0039074 |
| GABE ROLLHEISER AG LLC | G0042331 |
| GABRIEL ORTHODONTICS LLC | G0045915 |
| GADC PLLC | G0044757 |
| GAGE ACCOUNTING PC | G0038570 |
| GAILA NOEL | GS900145 |
| GALANTI LAWN & LANDSCAPE LLC | G0044820 |
| GALIFCO OREGON | G0030864 |
| GALLATIN AIRPORT AUTHORITY | G0036573 |
| GALLATIN ELECTRIC INC | G0044231 |
| GALLATIN MALL GROUP LLC | G0045036 |