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 |
|---|---|
| SOUTH LANE MENTAL HEALTH SERVICES | G0015679 |
| SOUTH PACIFIC AUTO SALES INC | G0032499 |
| SOUTH VALLEY AUTOMOTIVE & CUSTOMS LLC | GE000662 |
| SOUTH VALLEY AUTOMOTIVE & CUSTOMS LLC | G0040301 |
| SOUTHERN IDAHO REGIONAL COMMUNICATION CENTER | G0043840 |
| SOUTHERN IDAHO SURGICAL CENTER | G0038804 |
| SOUTHERN OREGON ASPIRE INC | G0016750 |
| SOUTHERN OREGON CARDIOLOGY LLC | G0041886 |
| SOUTHERN OREGON LAND CONSERVANCY | G0045860 |
| SOUTHERN OREGON SANITATION | G0040486 |
| SOUTHERN WINE GROUP LLC BCOC | G0033677 |
| SOUTHPORT FOREST PRODUCTS LLC | G0021108 |
| SOUTHSIDE PALLETS LLC | GE000821 |
| SOUTHWEST PHYSICAL THERAPY LLC | G0042085 |
| SP MOORE APPRAISAL PLLC | G0045491 |
| SPACEMAKER STORAGE LLC | G0045269 |
| SPARK R & D | G0043189 |
| SPARKLE CLEANING | GS900182 |
| SPARROW ENTERPRISES INC | G0038483 |
| SPEARE LAW FIRM PC | G0036806 |