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 |
|---|---|
| SLATTERY ORTHODONTICS | G0039506 |
| SLEEP DIAGNOSTICS INC | G0042178 |
| SLEEPING GIANT ANIMAL CLINIC | G0039498 |
| SLM LLC | G0046079 |
| SLONAKER ENTERPRISES LLC | GE000790 |
| SLOPESIDE ACCOUNTING AND TAX | G0046401 |
| SLR HOLDINGS | G0042801 |
| SMALL CAR CLINIC NFIB | G0034588 |
| SMALLEY TRUCKING COMPANY INC | G0045796 |
| SMART LIVING LEARNING & EARNING WITH AUTISM | G0044455 |
| SMARTROOMS INC | G0036389 |
| SMARTZ | G0043367 |
| SMEED COMMUNICATION SVCS | G0030882 |
| SMF LEGAL PLLC | G0045892 |
| SMILE 4 KIDS LLC | G0042071 |
| SMILES 4 KIDS BURLEY LLC | G0042241 |
| SMILES 4 KIDS HAILEY PLLC | G0040059 |
| SMILES INC | G0032536 |
| SMILES MANAGEMENT LLC | GE000713 |
| SMILEY RV SALES & SERVICE INC | G0044454 |