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 |
|---|---|
| ISLAND MARKET COMPANY WGT | G0040759 |
| IT NUTRITION LLC | G0043711 |
| IVORY EDGE | G0044021 |
| IYENGAR YOGA OF BEND | GS900230 |
| IZAAK WALTON INN INC NFIB | G0034746 |
| J & G STEEL PROPERTIES LLC | G0046359 |
| J & H HARVESTING LLC | G0040392 |
| J & J EXCAVATING AND TRUCKING INC | G0043380 |
| J & K CUSTOMS LLC | G0045994 |
| J & K ELECTRICAL LLC | G0038861 |
| J & M AUTOS INC | G0044220 |
| J & M PARKS LLC | G0044912 |
| J & M RAIGER INC | G0042569 |
| J & N RAPP COMPANY LLC | G0042194 |
| J & R ASPHALT MAINTENANCE | G0039839 |
| J 1 HEATING & AIR | G0037428 |
| J A MILLER UTILITY CONTRACTOR INC | GE000562 |
| J AND H BROWN LOGGING INC | G0015976 |
| J AND J FARMS | G0033783 |
| J BAR T ENGINEERS LLC | G0041006 |