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 |
|---|---|
| OVERHEAD DOOR CO OF SOUTHERN MT | G0034696 |
| OVERHEAD DOOR OF SW IDAHO | G0043244 |
| OVERLAND CRUISERS LLC | G0042079 |
| OWYHEE SAND AND GRAVEL LLC | G0041369 |
| OZ ARCHITECTS | G0037727 |
| OZWEST INC | GE000758 |
| OZWEST INC | G0042117 |
| P&E ELECTRIC | G0045739 |
| P.E.R. INC | G0044560 |
| PAC NW ELECT PWR AND CONSERVATION | G0020761 |
| PACIFIC AG LLC | G0046010 |
| PACIFIC CARPENTRY LLC | G0045521 |
| PACIFIC CREST AUTO SALES INC | G0039728 |
| PACIFIC CREST LABS | G0045369 |
| PACIFIC ECS LLC | G0046260 |
| PACIFIC FOREST CONTRACTORS INC | G0037986 |
| PACIFIC METAL WORKS INC | G0042440 |
| PACIFIC NORTH CONTRACTORS | GE000734 |
| PACIFIC NORTHWEST TRUCK AND OFF ROAD LLC | G0044453 |
| PACIFIC SANITATION INC | G0032082 |