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 |
|---|---|
| AUTO BODY CONCEPTS INC | G0046279 |
| AUTO EXPERTS LLC | G0046434 |
| AUTO HAUS | G0013099 |
| AUTO KINGS | G0045209 |
| AUTO STOP | G0037883 |
| AUTOMATED LIVING LLC | G0040540 |
| AUTOMATIC FIRE SYSTEM SERVICES INC | G0039515 |
| AUTOMOTIVE CLINIC INC | G0036249 |
| AVIMATT LLC | G0043273 |
| AVION WATER COMPANY INC | G0012858 |
| AVONDALE DENTAL CENTER LLC | G0042703 |
| AX&T DIRTWORKS | G0043757 |
| AXELSON ALTRNTV CREMATION INC NFIB | G0034750 |
| AXIA WEALTH MANAGEMENT INC | G0044392 |
| AXIAL NORTHWEST LLC | G0039691 |
| AXIOM TRANSPORT LLC | G0043994 |
| AYE FAMILY DENTISTRY INC | G0043530 |
| AZURE TAX AND ACCOUNTING LLC | G0037752 |
| B & B MARKETS INC | G0041139 |
| B & B NAIL BAR | G0045926 |