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 |
|---|---|
| TEN MILE RANCH | G0035713 |
| TEN PIN BOWLING INC NFIB | G0034293 |
| TERRA TECH LLC | G0010022 |
| TERRAIN INC | G0046354 |
| TERRAIN TAMERS CHIP HAULING INC | G0038403 |
| TERREBONNE ELECTRIC INC | G0042502 |
| TERRITORIAL SEED COMPANY INC | G0013801 |
| TERRY REILLY HEALTH SERVICES | G0042887 |
| TETON BAGEL LLC | G0044754 |
| TETON THAI | G0044438 |
| TETON WOMENS HEALTH CENTER | G0043160 |
| TFC CONSULTANTS INC | G0043271 |
| TGPM LLC | G0046030 |
| THAIPAS | GE000970 |
| THATCHERS HARDWARE DBA ACE HARDWARE | G0012523 |
| THE ALLIANCE OF IDAHO | G0042738 |
| THE AUTO WORKS INC | G0046494 |
| THE AUTOSMITH OF OREGON INC | G0018329 |
| THE BASQUE MARKET | G0041699 |
| THE BILLER INC | G0046088 |