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 |
|---|---|
| SYSUM CONSTRUCTION INC | G0045579 |
| SZABO LANDSCAPE ARCHITECTURE LLC | G0041436 |
| SZURGOT ELECTRIC INC | G0040569 |
| T & S ADVENTURES INC | G0041144 |
| T & T ENTERPRISES | G0043213 |
| T AND M BOLKEN ENTERPRISES LLC | G0041101 |
| T COR LLC | G0040361 |
| T DOG INCORPORATED | G0035818 |
| T DUBB CONTRACTING LLC | G0046028 |
| T HAT CORP | G0046304 |
| T LINE CONSTRUCTION LLC | G0046174 |
| T MYERS MD LLC | G0046173 |
| T&C LAND HOLDINGS LLC | G0042268 |
| T&K PERFORMANCE LLC | G0042332 |
| T2 INVESTMENTS LLC NFIB | G0034608 |
| TABLE 28 INC | G0046280 |
| TAC WELDING | G0044987 |
| TADPULL INC | G0037110 |
| TAKING OWNERSHIP | G0045801 |
| TALEFF & MURPHY PC | G0038785 |