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 |
|---|---|
| BRYANT LOVLIEN & JARVIS PC | G0045874 |
| BTW OR LLC | G0045898 |
| BUCCI BARRE LLC | G0040939 |
| BUCHANANS REALLY SMALL RESTAURANT EMPIRE LLC | G0046199 |
| BUCK FAMILY FUNERAL SERVICE INC | G0037109 |
| BUCK ORTHODONTICS PC | G0045988 |
| BUCKS SANITARY SERVICE INC | G0031760 |
| BUCKS SANITARY SERVICE INC | G0039904 |
| BUDGET FRAMING AND ART WRKSHP NFIB | G0035108 |
| BUFFALO HUMP LLC | G0042083 |
| BUHRLEY ENDODONTICS & MICROSURGERY | G0039370 |
| BUILD PHYSIO & PERFORMANCE PLLC | G0044865 |
| BUILDERS BARGAIN CENTER INC | G0017407 |
| BUILDERS ELECTRIC INC | G0046086 |
| BUILDING HEALTHY FAMILIES | G0044326 |
| BUILDING MATERIAL THRIFT | GE000792 |
| BUILDING SOLUTIONS LLC | G0045010 |
| BULKLEY ELECTRIC INC | G0036682 |
| BULKLEY ELECTRIC INC NFIB | G0034345 |
| BULL CREEK FORESTRY INC | G0039283 |