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 |
|---|---|
| A SERIES OF TETON GRP ENTERPRISES A DELAWARE LLC | G0043127 |
| A WEST PACIFIC CONTRACTORS LLC | GE000754 |
| A&C FARMS LLC | G0046147 |
| A&J STORES INC WGT | G0041888 |
| A-1 AMBULANCE INC NFIB | G0035095 |
| A1 HEATING AIR CONDITIONING & ELECTRIC | G0044242 |
| A1 JOHNSON AUTO WRECKING | G0036920 |
| A1 MUFFLERS & AUTO REPAIR | G0038940 |
| A2Z SECURITY | G0045759 |
| A2Z SUPPLY | G0045119 |
| AA RITE WAY ROOFING | G0043712 |
| AARONS AUTOMOTIVE REPAIR | G0043485 |
| AASUM AQUISITION COMPANY | G0045534 |
| ABA MONTANA LLC | G0046145 |
| ABC ENTERPRISES LLC | G0044639 |
| ABC OFFICE SHARE LLC | G0038189 |
| ABC SEAMLESS | G0036959 |
| ABE JONES SEPTIC SERVICE INC | G0043814 |
| ABE MURNION NFIB | G0035098 |
| ABERCROMBIE PIPELINE SERVICES LLC | G0042925 |