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 |
|---|---|
| HOLMANS FUNERAL SERVICE | G0043432 |
| HOLST COLLISION CENTER INC | G0032619 |
| HOLT ANESTHESIA PLLC | G0041537 |
| HOLTRAN LLC | G0044794 |
| HOLY KAKOW CHOCOLATE LLC | GE000955 |
| HOLZAPFEL RANCH | G0046067 |
| HOME HEALTH OF NORTHWEST LLC | G0045226 |
| HOME HEATING & AIR CONDITIONING INC | G0037474 |
| HOME HEATING & COOLING | G0043418 |
| HOME LIFE INCORPORATED | G0045961 |
| HOME MEDIA SOLUTIONS LLC | G0042201 |
| HOME SYSTEM SOLUTIONS | G0037844 |
| HOME THEATERS AND MORE NFIB | G0034447 |
| HOME TOWN DRUGS OF SUTHERLIN INC | G0042772 |
| HOMEBUILDER SOFTWARE | G0045946 |
| HOMES BY KATE MCGWIRE | G0042077 |
| HOMES OF IDAHO | G0042860 |
| HOMESTEAD HELICOPTERS INC | G0037361 |
| HOMESTEAD PROPERTY MANAGEMENT LLC | G0045979 |
| HOMESTEAD YOUTH & FAMILY SERVICES | G0044430 |