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 |
|---|---|
| AVONDALE DENTAL CENTER LLC | G0042703 |
| AX&T DIRTWORKS | G0043757 |
| AXELSON ALTRNTV CREMATION INC NFIB | G0034750 |
| AXIA WEALTH MANAGEMENT INC | G0044392 |
| AXIAL NORTHWEST LLC | G0039691 |
| AXIOM TRANSPORT LLC | G0043994 |
| AYE FAMILY DENTISTRY INC | G0043530 |
| AZURE TAX AND ACCOUNTING LLC | G0037752 |