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 |
|---|---|
| LABORLAB | G0046410 |
| LADD FAMILY PHARMACY | G0019273 |
| LADS MANAGEMENT LLC | G0045713 |
| LAGRECA EYE CLINIC PC | G0041504 |
| LAIRD COWLEY PLLC | G0041403 |
| LAKE BILLY CHINOOK HOUSEBOATS INC | G0044507 |
| LAKE CITY LOGGING | G0044964 |
| LAKE COUNTY | G0018523 |
| LAKE COUNTY COMMUNITY HOUSING | G0043735 |
| LAKE COUNTY RESOURCES INITIATIVE | G0044617 |
| LAKE GLASS NFIB | G0034480 |
| LAKE OSWEGO HEALTH CENTER | G0045278 |
| LAKES GLACIER VIEW FARM INC | G0041899 |
| LAKESIDE AND POLSON PHYSICAL THERAPY | G0035416 |
| LAKESIDE COUNTY WATER & SEWER DISTRICT | G0037777 |
| LAKEVIEW MILLWORKS SALES INC | G0044822 |
| LAKEVIEW SANITATION INC | G0040485 |
| LAMB STORAGE LLC | GE000777 |
| LAMBERT HOTEL MANAGEMENT CORPORATION | G0039090 |
| LAMBERT INSURANCE | G0041011 |