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 |
|---|---|
| UPSON COMPANY | G0044245 |
| UPTOWN HARDWARE INC | G0017875 |
| URBAINE HOME LLC | G0037576 |
| URGENT CARE OF IDAHO | G0044486 |
| US EMBROIDERY LLC | G0036360 |
| UTILITY TRAILER SALES OF CENTRAL OREGON LLC | G0039318 |
| UTR LAND & TIMBER LLC | G0045103 |
| V AND S LOG EXPRESS INC | G0015793 |
| V CONCRETE INC | G0045637 |
| VAB LLC | G0045450 |
| VALAURUM INC | G0042031 |
| VALE CREEK RANCH | G0045592 |
| VALKNUT ENTERPRISES LLC | G0045338 |
| VALLEY AIR PHOTOS LLC | G0019032 |
| VALLEY ANIMAL HOSPITAL LLC | G0018410 |
| VALLEY BANK OF KALISPELL | G0035338 |
| VALLEY COUNTY SCHOOL DISTRICT 23 | G0046193 |
| VALLEY ELECTRICAL CONTRACTING INC | G0040083 |
| VALLEY ENDODONTICS | G0018993 |
| VALLEY FURNITURE CO INC | G0039435 |