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 |
|---|---|
| LUMINA HOSPICE AND PALLIATIVE CARE LAO | G0046029 |
| LUNA PROPERTIES LLC | G0042851 |
| LUNCHBOX LLC | G0038389 |
| LUTTONS ACE HARDWARE | G0017756 |
| LUX SUCRE LLC | GE000961 |
| LUXE ATELIER SPA | G0046394 |
| LYCOX ENTERPRISES INC | G0046366 |
| LYLE E MITCHELL INSURANCE AGENCY INC | G0045106 |
| LYNCH CONGER MCLANE LLP | G0036767 |
| LYNCH FLYING SERVICE INC & EDWARDS LAW FIRM LTD | G0046324 |
| LYNCH HOLDING COMPANY LLC | G0045427 |
| LYNN CHRISTOFFERSON | GE000603 |
| LYNN SCOTT COUNSELING | G0041251 |
| LYNN TANNER FARMS | G0045636 |
| LYONS EYE LLC | G0040166 |
| LYONS LAW FIRM PLLC | G0046454 |
| M & M STARRY INC | G0042952 |
| M & R MECHANICAL CORPORATION | G0044600 |
| M & R MECHANICAL CORPORATION | G0036984 |
| M & S GROCERS | G0040982 |