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 |
|---|---|
| SISTERS MAINLINE STATION LLC | G0037501 |
| SISTERS OF THE ROAD | G0044872 |
| SISTERS SELF STORAGE LLC | GE000882 |
| SISTERS VIEW RANCH LLC | G0039292 |
| SIUSLAW OUTREACH SERVICES | G0032470 |
| SIX PONY HITCH NFIB | G0035089 |
| SIXSPENCE INC | G0044674 |
| SIXTH AVENUE MEDICAL PHARMACY | G0045720 |
| SJZ MANAGEMENT INC | GE000819 |
| SKARI FARMS | G0043661 |
| SKE LOGISTICS | G0044202 |
| SKILL BUILT TRUSS LLC | G0043734 |
| SKYCOR AUTOMOTIVE LLC | G0040108 |
| SKYLINE RECOVERY LLC | G0040817 |
| SKYLINE VETERINARY CLINIC | G0043171 |
| SKYLINER WEALTH MANAGEMENT LLC | G0046264 |
| SKYWARD IO INC XEN | G0033485 |
| SKYWEST COMMERCIAL CLEANING LLC | G0041174 |
| SL FAMILY PROPERTIES | G0045758 |
| SLAINTE MHATH INC | G0037308 |