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 |
|---|---|
| SMARTZ | G0043367 |
| SMEED COMMUNICATION SVCS | G0030882 |
| SMF LEGAL PLLC | G0045892 |
| SMILE 4 KIDS LLC | G0042071 |
| SMILES 4 KIDS BURLEY LLC | G0042241 |
| SMILES 4 KIDS HAILEY PLLC | G0040059 |
| SMILES INC | G0032536 |
| SMILES MANAGEMENT LLC | GE000713 |
| SMILEY RV SALES & SERVICE INC | G0044454 |
| SMITH & CROVERS TREE SERVICE LLC | G0042962 |
| SMITH & MALEK PLLC | G0041012 |
| SMITH & STEPHENS PC | G0037156 |
| SMITH BROTHERS MOVING SERVICES INC | G0035782 |
| SMITH BROTHERS RACING PRODUCTS INC | G0039955 |
| SMITH CHEVROLET CO INC | G0042414 |
| SMITH PEDIATRIC DENTISTRY PC | G0041146 |
| SMITH ROCK MANOR | GS900263 |
| SMITH SECURITY LLC | G0044050 |
| SMITH VALLEY FIRE DISTRICT | G0038407 |
| SMOKE SIGNALS FIRE CONTROL LLC | G0044915 |