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 |
|---|---|
| BL PERFORMANCE INC | G0044218 |
| BLACK BUTTE RANCH CORPORATION | G0041891 |
| BLACK DIAMOND EQUINE VETERINARY CLINIC LLC | GE000811 |
| BLACK LABEL CONSTRUCTION CO | G0045263 |
| BLACK MAGIC PAINT LLC | G0038363 |
| BLACK OIL CO LLC | G0046353 |
| BLACK PINE CABINETS LLC | G0041606 |
| BLACKFEET COMMUNITY COLLEGE | G0035874 |
| BLACKFOOT PHYSICAL THERAPY | G0032658 |
| BLACKROCK EXCAVATION | G0046105 |
| BLAINE COUNTY RECREATION DISTRICT | G0041046 |
| BLAINE NOLAND CONSTRUCTION INC | G0043276 |
| BLAINE NOLAND CONSTRUCTION INC | GE000836 |
| BLAISE CACCIOLA ARCHITECT | G0042054 |
| BLAKE ETTESTAD INSURANCE AGENCY INC | G0046281 |
| BLATCHFORD FARMS INC | G0033758 |
| BLENDS COPY SHOP INC NFIB | G0034331 |
| BLINCOE FARMS INC | G0019311 |
| BLINDSOURCE OF BOISE LLC | G0017729 |
| BLIVEN & EVANS TRIAL LAWYERS PC | G0036915 |