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 |
|---|---|
| PAVICO BUSINESS FORMS INC | G0036460 |
| PAVLIK ELECTRIC CO INC | G0035301 |
| PAWN DEPOT INC | G0038055 |
| PAWS A WHILE INC | G0033314 |
| PAY LYNXS INC | G0045352 |
| PAYETTE TREE SERVICE | G0039735 |
| PAYROLL DATA INC | G0037478 |
| PCH INC | G0042641 |
| PEACE OF MIND FUNCTIONAL MEDICINE LLC | G0046215 |
| PEACH TREE CLINIC | G0038880 |
| PEAK 15 LLC | G0044458 |
| PEAK DENTAL LLC | G0046038 |
| PEAK DIGITAL MARKETING SOLUTIONS LLC | G0044642 |
| PEAK HEALTH HELENA LLC | G0040736 |
| PEAK WELLNESS SERVICES | G0046302 |
| PEAR BUREAU NORTHWEST | G0030174 |
| PEDERSON CONSULTING GROUP INC | G0042394 |
| PEDIATRIC DENTISTRY PC | G0038036 |
| PEDIATRIC SPECIALISTS OF PENDLETON LLC | G0045700 |
| PEGGY D SCHNEIDER LTD PRTNRSHP NFIB | G0034542 |