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 |
|---|---|
| THE GUTTER GUYS LLC | G0043739 |
| THE HAIRPIN LC | G0035341 |
| THE HELMSTAR GROUP | G0042055 |
| THE HENS TOOTH CORPORATION | GE000386 |
| THE HUMAN FUND LLC | G0044586 |
| THE HYDE COMPANY | G0037743 |
| THE IDAHO FOODBANK | G0045169 |
| THE INDIGO BRIDE | G0045880 |
| THE INSURANCE STORE INC | G0035952 |
| THE JASON WALKER TEAM INC | G0042397 |
| THE JOLENE ZOLLINGER AGENCY INC | G0046309 |
| THE KINDNESS FARM | G0045365 |
| THE KINGS CAFE | G0040602 |
| THE LAW OFFICE OF JEFFREY C MACNEILLY PC | G0046037 |
| THE LAZY DAISY LLC | GE000236 |
| THE LEFFEL CENTER | G0016854 |
| THE LEMON TREE OF BEND LLC | G0040218 |
| THE LODGE AT EAGLE ROCK | G0045299 |
| THE LOOSE CABOOSE INC | G0035669 |
| THE LOYAL SPARROW TATTOO CO | G0045984 |