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 |
|---|---|
| HERMISTON VETERINARY CLINIC | G0044191 |
| HESTIA IN HOME SUPPORT LLC | G0043186 |
| HFT BPT IDAHO LLC | G0045382 |
| HIATT ENTERTAINMENT GROUP | G0037525 |
| HICKMAN WILLIAMS & ASSOCIATES INC | G0036748 |
| HICKMAN WILLIAMS AND ASSOCIATES INC | G0032260 |
| HICKS DENTAL CLINICS INC | G0041346 |
| HIDDEN SPRINGS ANIMAL HOSPITAL | G0043147 |
| HIDDEN VALLEY MARKET | G0040906 |
| HIDE & SOLE INC | G0037209 |
| HIGH CALIBER ENTERPRISES INC | G0038674 |
| HIGH COUNTRY EQUIPMENT INC NFIB | G0034442 |
| HIGH COUNTRY PLASTICS INC | G0038900 |
| HIGH COUNTRY WILDLIFE CONTROL | G0043860 |
| HIGH DESERT FAMILY MEDICINE | G0017573 |
| HIGH DESERT HOTELS LLC | G0044551 |
| HIGH DESERT INSURANCE GROUP LLC | G0036859 |
| HIGH DESERT LANDSCAPING LLC | G0042548 |
| HIGH DESERT PARTNERSHIP | G0045288 |
| HIGH MOUNTAIN PLUMBING | G0045080 |