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 |
|---|---|
| OLD STAGE CONSTRUCTION INC | G0041381 |
| OLDWAVE INC | G0042500 |
| OLSENS AUTO PARTS LLC | G0045764 |
| OLSON BROTHERS LOGGING LLC | G0015868 |
| OLYMPUS TECHNICAL SERVICES INC | G0036563 |
| OMDAHL EXCAVATION & UTILITIES INC. | G0045769 |
| OMEGA ROOFING LLC | G0045215 |
| ON 140 FEED & SEED INC | G0045715 |
| ON GRADE BLADE SERVICE LLC | G0044247 |
| ONE DAY SIGNS | GS900062 |
| ONE SECURITY | G0044657 |
| ONE TAIL AT A TIME - PDX | G0041478 |
| ONSIGHT EYE CENTER LLC | G0045124 |
| ONTARIO CHAMBER OF COMMERCE | G0030979 |
| ONTARIO DENTAL ART INC | G0045912 |
| ONTARIO INN LLC | G0044552 |
| OP AND WE EDWARDS FOUNDATION | GE000520 |
| O-P ENGINEERING PC | G0032449 |
| OP TECH USA LLC | G0046430 |
| OP3 INC | G0044562 |