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 |
|---|---|
| LOPEZ TRUCKING LLC | G0043226 |
| LOPEZ VILLAGE MARKET INC | G0040853 |
| LOPO & ASSOCIATES INC | G0042009 |
| LORDS CHIROPRACTIC LLC | G0040880 |
| LOREN J SMITH FARMS LLC | G0031750 |
| LORENS AUTO REPAIR | G0035548 |
| LORENS CARPET ONE | G0034165 |
| LORENS SANITATION INC | G0040489 |
| LORRAINE M WINGER OD PC | G0046348 |
| LOSS RUN PRO LLC | G0042384 |
| LOTUS TREE SENSORY INTEGRATION CTR | G0019002 |
| LOUIS A BIBLER FAMILY TRUST | G0036861 |
| LOWELLS ENTERPRISES INC | G0041167 |
| LOWER COLUMBIA LAW GROUP LLC | GE000839 |
| LOWER COLUMBIA LAW GROUP LLC | G0043304 |
| LPH INC | G0038929 |
| LPL FINANCIAL | G0041306 |
| LR HUCKABA RANCH INC | G0034681 |
| LRP INSURANCE GROUP LLC | G0036618 |
| LTDK PROPERTIES LLC | G0046087 |