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 |
|---|---|
| TWIN FALLS SCHOOL DISTRICT 411 | G0041508 |
| TWIN FALLS SCHOOL DISTRICT 411 RETIREE | G0041509 |
| TWIN RIVERS TRANSPORT LLC | G0033670 |
| TWINSY LLC | G0046120 |
| TWO BEAR THERAPEUTIC RIDING CENTER | G0046127 |
| TWO BOYS MEAT & GROCERIES INC WGT | G0040749 |
| TWO BROTHERS LAWN AND SNOW LLC | G0044361 |
| TWO GEMS INC | GE000680 |
| TWO OLD HIPPIES | G0046258 |
| TWO SOLES INC | G0045889 |
| TWO SPRUCE LAW | G0044732 |
| TY D JAROS DDS LLC | G0045297 |
| TY NELSON CONSTRUCTION | G0042928 |
| TYLER MANAGEMENT SERVICES LLC | G0045876 |
| TYREE OIL INC | G0046308 |