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 |
|---|---|
| BUSINESS PSYCHOLOGY ASSOCIATES | G0019214 |
| BUSINESS SYSTEMS CONSULTING INC XEN | G0018010 |
| BUSINESS TECHS | G0039868 |
| BUSY BS LLC | G0040055 |
| BUTCHER BOYS | G0041625 |
| BUTLER BUILT CUSTOM CONSTRUCTION INC | G0044494 |
| BUTLER FAMILY DENTAL | G0043240 |
| BUTTE BROADCASTING INC | G0045270 |
| BUTTE LOCAL DEVELOPMENT CORPORATION | G0039992 |
| BUTTE PEDIATRIC DENTISTRY | G0043342 |
| BUTTE SILVER BOW TRANSIT | G0046466 |
| BUXBAUM DAUE PLLC | G0036243 |
| BW REAL ESTATE LLC | G0044022 |
| BZR LLC | G0042477 |