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 |
|---|---|
| PACIFIC SANITATION INC | G0040522 |
| PACIFIC STATES MANUFACTURING INC | G0046053 |
| PACIFIC TRACTOR AND IMPLEMENT LLC | GE000645 |
| PACIFIC WOMENS CENTER LLC | G0033588 |
| PACIFICSOURCE | G0020040 |
| PACKOUZ JEWELERS | G0041353 |
| PADRE PROPERTIES LLC | G0044833 |
| PAGE ONE POWER | G0040616 |
| PAHLS FAMILY DENTISTRY PC | G0046125 |
| PAINE GROUP INC | G0044991 |
| PAINLESS STEEL INC | G0037047 |
| PAINTED SKY CENTER FOR THE ARTS | G0045043 |
| PAINTED SMILES INC | G0038937 |
| PALADIN DATA CORPORATION | G0012294 |
| PALATINE HILL CORPORATION | G0041954 |
| PALISADE FINANCIAL | G0043511 |
| PALMER ELECTRICAL CONTRACTING INC | G0037044 |
| PANDORAS BACKPACK LLC | G0040369 |
| PANTERA MARKET LLC | GE000829 |
| PANTHER SYSTEMS NORTHWEST INC | G0042185 |