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 |
|---|---|
| SUE ELLEN BRIDGMAN FLORIST INC | G0045464 |
| SUGAR SALEM SCHOOL DISTRICT 322 | G0043928 |
| SULLIVAN FINANCIAL GROUP INC | G0042068 |
| SULLIVAN WAGNER & LYONS PLLC | G0042620 |
| SUMMIT AG APPRAISAL INC | G0044027 |
| SUMMIT AIR HEATING AND COOLING | G0042847 |
| SUMMIT BANK | G0045674 |
| SUMMIT CHIROPRACTIC PC | G0045824 |
| SUMMIT CHIROPRACTIC PC NFIB | G0034599 |
| 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 |