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 |
|---|---|
| NORTHWEST COMMUNITY BUILDERS LLC | G0045474 |
| NORTHWEST COUNCIL FOR COMPUTER ED | G0042247 |
| NORTHWEST DESIGN STUDIO INC | G0045178 |
| NORTHWEST DRYWALL AND BUILDING SUPPLY INC | G0035831 |
| NORTHWEST ELECTRIC GROUP LLC | G0041277 |
| NORTHWEST GRADING INC | G0042766 |
| NORTHWEST GROCERS LLC | G0040851 |
| NORTHWEST HARDWARE | G0040644 |
| NORTHWEST HAY | G0042263 |
| NORTHWEST HOUSING SERVICES LLC | G0046066 |
| NORTHWEST INSTALLATIONS INC | G0038453 |
| NORTHWEST LAND SERVICES LLC | G0043886 |
| NORTHWEST LOGGING INC | G0045173 |
| NORTHWEST MANAGED BENEFITS INC | G0042365 |
| NORTHWEST MONTANA HUMAN RESOURCES | G0036338 |
| NORTHWEST PATHOLOGY SERVICES LLC | G0020138 |
| NORTHWEST PLUMBING INC | G0035110 |
| NORTHWEST POWER INC | G0020254 |
| NORTHWEST PREMIUM MEAT | G0022371 |
| NORTHWEST PRIVATE LENDING INC | G0038312 |