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 |
|---|---|
| HYGGE HAUS LLC | G0044670 |
| HYPERION INDUSTRIES INC | G0044846 |
| HYUN MIN LEE DDS PC | G0031979 |
| I & J ENTERPRISES QUICKWAY MARKET INC | G0040799 |
| I.E. ARCHITECTURAL LLC | G0044367 |
| I.E. ENGINEERING INC | G0043197 |
| IB CONSTRUCTION LLC | G0042785 |
| IBEX TRAINING LLC | G0046219 |
| IBEY SPRINKLERS AND LANDSCAPE | G0037138 |
| ICE FOUNTAIN WATER DISTRICT | G0018431 |
| ICRM PC | G0032516 |
| ID SPINE AND SPORTS PHYSICAL THER | G0019276 |
| IDA MED SURGICAL | G0044200 |
| IDADREAM HOMES LLC | G0042822 |
| IDAHO ANESTHESIA ASSOCIATES PLLC | G0043313 |
| IDAHO CAPITAL HOLDING GROUP | GE000626 |
| IDAHO CLEFT & CRANIOFACIAL PED PLASTIC SURGERY | G0046392 |
| IDAHO CONSTRUCTION CONTRACTOR LLC | G0041154 |
| IDAHO CREATIVE SOLUTIONS LLC | G0045462 |
| IDAHO CROP IMPROVEMENT ASSOCIATION INC | G0039620 |