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 |
|---|---|
| LAKESIDE AND POLSON PHYSICAL THERAPY | G0035416 |
| LAKESIDE COUNTY WATER & SEWER DISTRICT | G0037777 |
| LAKEVIEW MILLWORKS SALES INC | G0044822 |
| LAKEVIEW SANITATION INC | G0040485 |
| LAMB STORAGE LLC | GE000777 |
| LAMBERT HOTEL MANAGEMENT CORPORATION | G0039090 |
| LAMBERT INSURANCE | G0041011 |
| LAMBROS ASSET MANAGEMENT | G0039770 |
| LAMBROS REAL ESTATE | G0037072 |
| LAMMERS AND LAMMERS ENTERPRISES LLC | G0040454 |
| LANCAIR INTERNATIONAL INC BCOC | G0039364 |
| LANCE E WEST DMD | G0018232 |
| LANDMARK IRRIGATION CORPORATION | G0017831 |
| LANDMARK LAW PLLC | G0045513 |
| LANDREA LLC | G0038182 |
| LANDSCAPE ELEMENTS LLC | GE000276 |
| LANDSCAPES NORTH | G0042478 |
| LANE APEX DISPOSAL LLC | G0040514 |
| LANE COMMUNITY HEALTH COUNCIL | G0041328 |
| LANE COUNTY ACTIVE | G0020828 |