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 |
|---|---|
| SUMMIT DAIRY SUPPLY LLC | GE000675 |
| SUMMIT INSURANCE AGENCY INC | G0035336 |
| SUMMIT RESOURCE INTERNATIONAL | G0044703 |
| SUMMIT SEARCH CONSULTANTS LLC | G0046398 |
| SUN COUNTRY ENGINEERING AND SURVEYING INC | G0033618 |
| SUN ELECTRIC NFIB | G0034601 |
| SUN MOUNTAIN FUN CENTER | G0043255 |
| SUN POWER SOLAR & ELECTRIC | G0039883 |
| SUN VALLEY SKI EDUCATION FOUNDATION | G0039350 |
| SUN VALLEY WATER & SEWER DISTRICT | G0043848 |
| SUNBURST SENSORS LLC NFIB | G0034602 |
| SUNDANCE LUMBER CO INC NWPT MILL | G0021558 |
| SUNDANCE LUMBER COMPANY | G0044411 |
| SUNDANCE LUMBER COMPANY INC NWPT MILL | G0036737 |
| SUNDANCE LUMBER NWPT LOG | G0033660 |
| SUNDOWNER INC | G0037648 |
| SUNDSTROM CLINICAL SERVICES | G0044214 |
| SUNLIGHT SOLAR ENERGY INC | G0046269 |
| SUNNHUND LLC | G0045589 |
| SUNRIFT BREWING LLC | G0037568 |