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 |
|---|---|
| AMEND CONSTRUCTION INC | G0038448 |
| AMENDA CLINIC | GE000943 |
| AMERICAN ATM LLC | G0044258 |
| AMERICAN BAPTIST CHURCHES OF CENTRAL PACIFIC COAST | G0017881 |
| AMERICAN CIVIL LIBERTIES UNION OF IDAHO | G0045206 |
| AMERICAN ELECTRIC INC | G0036966 |
| AMERICAN FORK RANCH | G0036347 |
| AMERICAN PUBLIC LAND EXCHANGE INC | G0036210 |
| AMERICAN PUMP & SPA INC | G0045496 |
| AMERICAN SHEET METAL NFIB | G0034311 |
| AMERICAN SIMMENTAL ASSOCIATION | G0044744 |
| AMERICAN SPRINKLERS INC | G0044337 |
| AMERICAN STEEL INC | G0037970 |
| AMERICAN TRUCKING AND TRANSPORTATION INSURANCE CO | G0036215 |
| AMERICAS PROFESSOR LLC | G0039965 |
| AMERIPRISE FINANCIAL | G0032027 |
| AMOTH CUSTOM CHOPPING | G0043587 |
| AMP ELECTRIC AND LIGHTING INC NFIB | G0035197 |
| AMP PRO ELECTRIC LLC | G0037758 |
| AMPAC SEED COMPANY | G0012227 |