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 |
|---|---|
| ABILITREE | G0037987 |
| ABRAHAM CONSTRUCTION SERVICES LLC NFIB | G0034662 |
| ABSOLUTE SERENITY ADULT FOST | GS900260 |
| ABSOLUTE VINYL INC | G0035431 |
| ABUNDANT GRACE MARKET INC | G0043115 |
| ACCENT BUILDERS LLC | G0019274 |
| ACCENT FLOORING INC | GE000156 |
| ACCESS MONTANA COBRA | G0035345 |
| ACCESS ORGANICS INC | G0045808 |
| ACCOUNTING & TAX SOLUTIONS PC | G0045821 |
| ACCTECH SOLUTIONS INC | G0018093 |
| ACCURATE PLUMBING INC | G0043222 |
| ACE DRYWALL & CONSTRUCTION LLC | G0046399 |
| ACE DRYWALL & CONSTRUCTION LLC | G0041676 |
| ACE MOVERS LLC | G0043363 |
| ACHIEVEMENTS INC | G0038523 |
| ACME UNITED CORPORATION XEN | G0030217 |
| ACOUSTIC LIFE INCORPORATED | G0045340 |
| ACOUSTICAL DESIGN INC | G0041797 |
| ACS SYSTEMS LLC | GE000594 |