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 |
|---|---|
| SAFE HAVEN HUMANE SOCIETY | G0033218 |
| SAGE MEDICAL | G0040378 |
| SAGE MTN ELECTRIC LLC | G0046420 |
| SAGE PROGRAM UNDERWRITERS INC | G0046245 |
| SAGE PROGRAM UNDERWRITERS INC | G0045363 |
| SAGE TECH LLC | G0043427 |
| SAGEBRUSH CYCLE | GS900162 |
| SAGEBRUSH SPEECH THERAPY | G0045598 |
| SAGENS PAYRITE DRUGS | G0045731 |
| SAINT ANTHONY DEVELOPMENT CO | G0043282 |
| SALEM AREA MASS TRANSIT DISTRICT | G0046141 |
| SALLY M HENSEL CPA PC | G0037560 |
| SALMON RIVER CANAL COMPANY | G0041013 |
| SAMPSON PHYSICAL THERAPY INC | G0039333 |
| SAMPSON PLUMBING & HEATING | G0043776 |
| SAMS PLUMBING SOLUTIONS | G0041660 |
| SANDEEN MASONRY INC | G0045904 |
| SANDELIE GOLF CLUB INC | G0017862 |
| SANDON CONSTRUCTION CO INC | G0045576 |
| SANDPIPER IMPORT SERVICE | G0015859 |