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 |
|---|---|
| LGS OPERATING COMPANY | G0045035 |
| LIBBY AUTO PARTS INC | G0036751 |
| LIBBY CLINIC PLLP | G0038219 |
| LIBERTY ELECTRIC INC | G0046170 |
| LIBERTY RESTORATION INC | G0042534 |
| LIFE GUARD INSURANCE LLC | G0044018 |
| LIFE INCORPORATED | G0043178 |
| LIFE LOVE YOGA | GS900152 |
| LIFELAST INC XEN | G0017975 |
| LIFESPAN PSYCHIATRIC | G0043421 |
| LIFETIME VISION CARE LLC | G0045565 |
| LIFT ARCHITECTURE | G0044824 |
| LIFTING TECHNOLOGIES INC | G0037018 |
| LIGHTNING TOOL AND MANUFACTURING | G0019111 |
| LIGHTSPEED NETWORKS INC | G0013351 |
| LILJA PRCSN RIFLE BARRELS INC NFIB | G0035081 |
| LILLY FAMILY DENTISTRY | G0037610 |
| LILY MARKET INC | G0031966 |
| LIMELIGHT DEPARTMENT | G0032055 |
| LINCOLN COUNTY HISTORICAL SOCIETY | G0041726 |