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 |
|---|---|
| TKO HOMES BOISE LLC | G0039395 |
| TLCN INC | G0040201 |
| TMC CONTRACTORS INC | G0023247 |
| TMS MISSOULA LLC | G0042124 |
| TNT PIZZA LLC | G0043128 |
| TOBESHA LLC | G0041236 |
| TOBRW INC | G0036390 |
| TODD CONSTRUCTION INC NWPT MFG | G0033387 |
| TODD WITT FARMS INC | G0037214 |
| TOEPFER CONCRETE INC | G0034144 |
| TOJO HOLDINGS LLC | G0042028 |
| TOK LLC | G0045101 |
| TOM E GAYEWSKI CONSTRUCTION INC | G0045107 |
| TOM MAHON LOGGING INC ALC | G0044908 |
| TOM SCOTT AUTOMOTIVE INC | G0040624 |
| TOMAHAWK OIL CO. INC | G0045733 |
| TOMCO ELECTRIC INC | G0041896 |
| TOMIS | G0041674 |
| TOMPKINS CHIROPRACTIC LLC | G0042133 |
| TON 80 DART CO NFIB | G0034630 |