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 |
|---|---|
| 307 BADIOLA ST LLC | G0046089 |
| 360 DIRT WORKS LLC | G0042521 |
| 3C | GE000712 |
| 3DS MISSOULA INC | G0039712 |
| 3S MANAGEMENT LLC | G0046291 |
| 3T INC | G0037605 |
| 4 BROS DAIRY INC | G0045553 |
| 4 TELL INC XEN | G0031954 |
| 406 ENGINEERING INC | G0040439 |
| 406 FLATWORK INC | G0043336 |
| 406 LANDSCAPES INC | G0045372 |
| 406 PLUMBING LLC | G0041136 |
| 406 PROPANE LLC | G0044355 |
| 413 CONSTRUCTION CONCEPTS LLC | G0043970 |
| 4799A RIVER ROAD LLC | GE000853 |
| 4A LANDSCAPE AND IRRIGATION INC | G0018621 |
| 4G PROPERTY MANAGEMENT & VACA RENTALS LLC | G0045452 |
| 4GS TIRE AND REPAIR | G0036872 |
| 4H PLUMBING HEATING AND COOLING INC | G0040875 |
| 4-R EQUIPMENT | G0038217 |