PACIFICSOURCE HEALTH PLANS

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
PO Box 7068
Spingfield, OR
97475-0068

WebMD Payor ID 93029

DRG Contracted Hospitals:

First Choice Health Network
PO Box 2289
Seattle, WA
98111-2289

WebMD Payor ID 93029

Service Area Definition:

Washington (excluding Pacific, Wahkiakum, Cowlitz, Clark, Skamania, and Klickitat Counties).

Group Name Group Number
WRJ FARMS G0042294
WS DENTAL PC G0039863
WTECHLINK INC G0045368
WX6 INC ORRA G0044266
WYLD TERRA G0046376
WYNANTS FAMILY NUTRITION INC G0010373

Sample ID Card(s):