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 |
|---|---|
| SKILL BUILT TRUSS LLC | G0043734 |
| SKYCOR AUTOMOTIVE LLC | G0040108 |
| SKYLINE RECOVERY LLC | G0040817 |
| SKYLINE VETERINARY CLINIC | G0043171 |
| SKYLINER WEALTH MANAGEMENT LLC | G0046264 |
| SKYWARD IO INC XEN | G0033485 |
| SKYWEST COMMERCIAL CLEANING LLC | G0041174 |
| SL FAMILY PROPERTIES | G0045758 |
| SLAINTE MHATH INC | G0037308 |
| SLATTERY ORTHODONTICS | G0039506 |
| SLEEP DIAGNOSTICS INC | G0042178 |
| SLEEPING GIANT ANIMAL CLINIC | G0039498 |
| SLM LLC | G0046079 |
| SLONAKER ENTERPRISES LLC | GE000790 |
| SLOPESIDE ACCOUNTING AND TAX | G0046401 |
| SLR HOLDINGS | G0042801 |
| SMALL CAR CLINIC NFIB | G0034588 |
| SMALLEY TRUCKING COMPANY INC | G0045796 |
| SMART LIVING LEARNING & EARNING WITH AUTISM | G0044455 |
| SMARTROOMS INC | G0036389 |