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 |
|---|---|
| WORTHY BREWING LLC | G0041130 |
| WRANGLER INSURANCE INC | G0038300 |
| WREST COLLECTIVE | G0044211 |
| WRIGHT AUTO INC | G0046154 |
| WRIGHT BROTHERS THE BUILDING COMPANY | G0045978 |
| WRIGHT VAN HANDEL LLP | G0040784 |
| WRJ FARMS | G0042294 |
| WS DENTAL PC | G0039863 |
| WTECHLINK INC | G0045368 |
| WX6 INC ORRA | G0044266 |
| WYLD TERRA | G0046376 |
| WYNANTS FAMILY NUTRITION INC | G0010373 |
| XCAD VALVE AND IRRIGATION INC | G0044299 |
| XEON NC LLC | G0045726 |
| XROSSWAY LUTHERAN MINISTRIES INC | GE000367 |
| XTREME EPOXY IDAHO LLC | G0042921 |
| XYZ LLC | G0044882 |
| XYZ LLC | GE000538 |
| Y MARINA INC | G0031721 |
| YALA | G0017223 |