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 |
|---|---|
| GVT SERVICES INC | G0045799 |
| GW MANAGEMENT | G0042127 |
| GWE DONS HOME CENTER | G0039389 |
| GYLLENBERG EQUIPMENT INC | G0044351 |
| GYPPO INC | G0041950 |
| H & H PRODUCTS LLC | G0043303 |
| H AND H TRANSPORT INC | G0037194 |
| H D BLOMQUIST TRUCKING INC | G0014839 |
| H PROPERTY SERVICE | G0044301 |
| H2 POWERTECH LLC | G0044226 |
| HAAS CONTRACTING INC | G0033432 |
| HAAS ELECTRIC NFIB | G0034429 |
| HABITAT FOR HUMANITY OF FLATHEAD VALLEY INC | G0036658 |
| HABITAT FOR HUMANITY OF LAPINE SUNRIVER | G0044869 |
| HABITAT FOR HUMANITY OF LINCOLN COUNTY | G0043722 |
| HAGAN WELDING AND REPAIR INC | G0035335 |
| HAGERMAN INC | G0046210 |
| HALAL MEAT & MEDITERRANEAN FOOD INC | G0044189 |
| HALCROW CHIROPRACTIC | GS900037 |
| HALES & ASSOCIATES APLC | G0045751 |