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 |
|---|---|
| NW SUPERMARKETS INC | G0040988 |
| NWD INC NWPT LOG | G0038409 |
| O SO KLEEN INC | G0018811 |
| O&S CONTRACTORS | G0042105 |
| OAK GROVE CUSTOM CABINETS | G0016602 |
| OAK PARK FARMS INC | G0018209 |
| OBANSKYE LLC | G0043399 |
| OBGYN ASSOCIATES PA | G0045718 |
| OBIE INDUSTRIES | G0036646 |
| OBSIDIAN ELECTRIC INC | G0037199 |
| OCEAN EQUIPMENT | G0046196 |
| OCEANA NATURAL FOOD COOPERATIVE | G0045162 |
| OCHI GALLERY LLC | G0043913 |
| OCHOCO DENTAL | G0045197 |
| ODEGAARD KOVACICH SNIPES PC | G0041556 |
| ODEGAARD MILLER LAW | G0044153 |
| O�DONNELL�S BUTTE AMERICA LLC | G0045544 |
| OFF LEASH LIFE INC | G0041358 |
| OFFICE OF GENERAL COUNSEL NETWORK LLC | G0044921 |
| OKIES FOOD CENTERS INC | G0040863 |