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 |
|---|---|
| SUPERIOR LANDSCAPING PROS | G0045355 |
| SUPERIOR MOBILE AUTO GLASS INC | G0038719 |
| SUPERIOR PHYSICAL THERAPY | G0019242 |
| SUPERIOR STEEL LLC | G0043131 |
| SUPERIOR TRAFFIC SERVICES LLC | G0041389 |
| SUPREME COMFORT HEATING AND AIR | G0016490 |
| SURCO LOG INC | G0033366 |
| SURE FIRE CLEANING | GS900088 |
| SURGERY CTR OF STHRN OREGON | G0030230 |
| SURGICAL ASSOCIATES OF SOUTHERN IDAHO PA | G0043832 |
| SURREAL ESTATE LLC | G0041976 |
| SUSSEX SCHOOL INC | G0037087 |
| SUSTAINABLE HOMES LLC | G0040388 |
| SUTHERLIN SANITARY SERVICE LLC | G0044847 |
| SVEN BONE DDS MS PLLC | G0040891 |
| SWAFFORD INSURANCE INC | GE000767 |
| SWAGER FARMS LLLP | G0045289 |
| SWANSON INSULATION LLC | G0045267 |
| SWANSON THOMAS COON AND NEWTON | G0017342 |
| SWANSON'S FOOD OF ABERDEEN INC | G0040912 |