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 |
|---|---|
| SUNRIFT HOLDINGS LLC | G0044529 |
| SUNRISE BUILDERS INC | G0036843 |
| SUNRISE PHYSIO LLC | G0046156 |
| SUNRIVER ANIMAL HOSPITAL | G0036986 |
| SUNRIVER BREWING COMPANY LLC | G0032003 |
| SUNRIVER NATURE CENTER & OBSERVATORY INC | G0044553 |
| SUNRIVER OWNERS ASSOCIATION | G0044257 |
| SUNSEAL LLC | G0039299 |
| SUNSET CONSTRUCTION LLC | G0035097 |
| SUNSET FOREST PRODUCTS INC | G0032104 |
| SUNSET LABORATORY INC | G0011241 |
| SUNSHINE APIARY INC | G0036452 |
| SUNSHINE INC | G0043721 |
| SUNSTONE PSYCHIATRIC LLC | G0043747 |
| SUNTADO LLC | G0046128 |
| SUNWEST REDI MIX | G0037951 |
| SUPER DAVE INC | G0043962 |
| SUPER INC | G0043644 |
| SUPERIOR COMMUNITY MANAGEMENT | G0032347 |
| SUPERIOR HEATING AND COOLING INC | G0039050 |