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 |
|---|---|
| ASSOCIATED DERMATOLOGY & SKIN CANCER CLINIC | G0042266 |
| ASSOCIATED HEATING AND AIR CONDITIONING INC | G0015798 |
| ASSOCIATED VETERINARY SERVICES | G0039386 |
| ASSOCIATES IN FAMILY PRACTICE PA | G0045628 |
| ASSOCIATION OF IDAHO CITIES | G0038963 |
| ASSOCIATION OF UNIT OWNERS OF LITTLE CREEK COVE | G0045275 |
| ASSOCIS LLC | G0046041 |
| ASTHMA & ALLERGY OF IDAHO PLLC | G0040387 |
| ASTONITEC INC | G0039703 |
| AT THE BORDER STORAGE LLC | G0039799 |
| ATHENA ELECTRIC LLC | G0044829 |
| ATHENAS PAINTS & FINISHES LLC | G0045791 |
| ATLAS BUILDING GROUP | G0041563 |
| ATLAS HEATING AND AIR | G0045882 |
| ATTCO INC | G0040037 |
| ATTORNEYS INC PC | G0036659 |
| AUDIOLOGY CENTER NORTHWEST | G0039575 |
| AUGUST CELLARS | G0033499 |
| AUGUSTA SCHOOL DIST 45 | G0037549 |
| AULT LLC | G0038499 |