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 |
|---|---|
| PORTLAND IMMIGRATION LAW LLC | G0045894 |
| PORTLAND RELATIONSHIP INSTITUTE | G0040305 |
| PORTLAND SAND AND GRAVEL CO INC | G0016865 |
| PORTLAND STATE UNIVERSITY | G0033730 |
| PORTLAND STREET MEDICINE | G0041528 |
| PORTLAND WELLNESS PROJECT | G0045478 |
| PORTLAND YOUTH PHILHARMONIC | GE000843 |
| PORTLAND YOUTH SOCCER ASSOCIATION | G0017481 |
| POST FALLS CHAMBER OF COMMERCE | G0043350 |
| POTOMAC ELEMENTARY SCHOOL DISTRICT SUITE 11 | G0045563 |
| POTTS DRILLING INC | G0038404 |
| POVEY & ASSOCIATES LAND SURVEYORS | G0046004 |
| POWDER COATING OF MT | G0039825 |
| POWDER RIVER RANCH LLC | G0044951 |
| POWELL BUTTE CUSTOM HOMES LLC | G0045630 |
| POWER ADVANTAGE LLC | G0046288 |
| POWERHOUSE DIESEL LLC | G0044043 |
| POWERS HOWARD LLP | G0039872 |
| POWERS OF AUTOMATION INC | G0044262 |
| POWERSPHERE ONE LLC | G0046192 |