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 |
|---|---|
| SRO DOXY BREEDING SERVICES | G0044145 |
| ST IGNATIUS SCHOOL DISTRICT NO 28 | G0035899 |
| ST JOHNS VETERINARY CLINIC | G0010385 |
| ST ONGE LOGGING INC | G0038233 |
| ST PETER LAW OFFICES PC | G0044450 |
| ST THOMAS PRESCHOOL | G0033798 |
| ST VINCENT DE PAUL OF CALDWELL | G0022424 |
| STACEYS GATEWAY LLC | G0045416 |
| STACK FINANCIAL-INVESTECH RES NFIB | G0034592 |
| STACY & DENNIS IT SOLUTIONS INC | G0046035 |
| STAGE 2 TRANSPORT LLC | G0045007 |
| STAHLBUSH ISLAND FARMS INC | G0045191 |
| STAHLY ENGINEERING AND ASSOC NFIB | G0034766 |
| STALFORD SEED FARMS INC | G0010737 |
| STANDARD ELECTRIC LLC | G0045443 |
| STANLEY ASSOCIATES INC | G0042034 |
| STAR ELECTRIC MOTOR SERVICE INC | G0031743 |
| STAR FALLS AG INC | G0041973 |
| STAR OF HOPE ACTIVITY CENTER INC | G0041809 |
| STAR SNIP & PRINT LLC | G0044666 |