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 |
|---|---|
| SCIENCE WORKS HANDS ON MUSEUM | G0013059 |
| SCOGGIN CAPITAL INVESTMENT LLC | G0042845 |
| SCOT E BURGESS DMD PC | G0036535 |
| SCOTCO TRUCKING INC | G0045868 |
| SCOTIAN INC | G0010011 |
| SCOTT M SPARRELL | G0043143 |
| SCOTT R PARGOT DO INC | G0041133 |
| SCOTT RANDKLEV PHYSICAL THERAPY | GE000807 |
| SCOTTAY CONCEPTS | G0045287 |
| SCOTTIES PIZZA PARLOR | G0041483 |
| SCOTTYS INC | G0015548 |
| SCS UNLIMITED INC | G0042541 |
| SDJ LLC | G0044208 |
| SDM INC | G0044790 |
| SDS2 GROUP LLC XEN | G0018008 |
| SE IDAHO WELLNESS LLC | G0046338 |
| SEA & ADVENTURES INC | G0039426 |
| SEASHORE INN | G0018532 |
| SEASTROM MANUFACTURING CO INC | G0045053 |
| SECOR CONSTRUCTION | G0043469 |