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 |
|---|---|
| JORDAN E SAJOVIC PC | GE000924 |
| JORGENSEN FAMILY MEDICINE PC | GE000957 |
| JORGENSEN FAMILY WORKS | GE000969 |
| JOSEPHINE COMMUNITY LIBRARY FOUNDATION | G0042836 |
| JOSEPHINE COUNTY | G0020267 |
| JOSEPHSONS SMOKEHOUSE LLC | G0045929 |
| JOSIE KS KITCHEN LLC | GE000898 |
| JOSIE KS KITCHEN LLC | G0044387 |
| JOURNEY RENTACAR LLC | G0038557 |
| JOYCE & MACDONALD PLLP | G0045199 |
| JOYFUL LIVING BEHAVIORAL HEALTH | G0044894 |
| JP & ASSOCIATES LLC | G0042400 |
| JP MECHANICAL INC | G0046306 |
| JPI ENGINEERING PC | G0036994 |
| JPS COMPANIES LLC | G0044539 |
| JR FAULKNER EXCAVATION II INC | G0046295 |
| JR PRICE & ASSOCIATES INC | G0044508 |
| JRB CONSTRUCTION INC NFIB | G0034220 |
| JS & G INC | G0045750 |
| JS MOBILE TRUCK AND TRAILER | G0043986 |