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 |
|---|---|
| SOUND AIR INC | G0037111 |
| SOUNDWAVE INC | G0032731 |
| SOURDOUGH MONTESSORI SCHOOL | G0036868 |
| SOUTH BIG HORN COUNTY HOSPITAL DISTRICT | G0044250 |
| SOUTH COAST GOSPEL MISSION INC | G0043988 |
| SOUTH COAST HARDWARE COMPANY | G0043769 |
| SOUTH COAST LUMBER COMPANY | GS000475 |
| SOUTH COAST SURGERY CENTER | G0045737 |
| SOUTH COUNTY SHEET METAL & SPECIALTIES | G0041595 |
| SOUTH FORK INDUSTRIAL INC | G0035675 |
| SOUTH FORK MOBILE LLC | G0039167 |
| SOUTH LANE MENTAL HEALTH SERVICES | G0015679 |
| SOUTH PACIFIC AUTO SALES INC | G0032499 |
| SOUTH VALLEY AUTOMOTIVE & CUSTOMS LLC | GE000662 |
| SOUTH VALLEY AUTOMOTIVE & CUSTOMS LLC | G0040301 |
| SOUTHERN IDAHO REGIONAL COMMUNICATION CENTER | G0043840 |
| SOUTHERN IDAHO SURGICAL CENTER | G0038804 |
| SOUTHERN OREGON ASPIRE INC | G0016750 |
| SOUTHERN OREGON CARDIOLOGY LLC | G0041886 |
| SOUTHERN OREGON LAND CONSERVANCY | G0045860 |