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 |
|---|---|
| JUSTUS TRADING COMPANY INC | G0019017 |
| K & D WEST COAST LLC | G0041737 |
| K & K WEST | G0045470 |
| K & L OMS LLC | G0045679 |
| K & S CLOTHING | G0037494 |
| K & T STEEL CORP | G0046355 |
| K & T STEEL CORPORATION | G0039679 |
| K AND H ENTERPRISES INC | G0020745 |
| K C PHARMACY INC | G0045709 |
| K2 SPAS INC | G0046213 |
| K2 VENTURES | G0043821 |
| KABOBJO FOODS INC | G0040831 |
| KAILAS KAKERY LLC | G0041518 |
| KAL COPY & BLUE INC | G0043407 |
| KALAMA SHOPPING CENTER INC | G0040861 |
| KALAU BUILDERS LLC | G0044559 |
| KALEIDOSCOPE COMMUNITY PSYCHOTHERAPY | GE000897 |
| KALEVA LAW OFFICE | G0035408 |
| KALISPELL CHAMBER OF COMMERCE | G0035503 |
| KALISPELL MONTANA LOG HOMES INC | G0038489 |