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 |
|---|---|
| 5 STAR AUTO SERVICE LLC | G0016051 |
| 501 DRIVE | GS900106 |
| 5B IMAGING INC | G0041754 |
| 643 BROADWAY LLP | G0037862 |
| 643 BROADWAY LLP | G0037862 |
| 76 LAND AND LIVESTOCK INC | G0044739 |
| 836 TECHNOLOGIES CORPORATION | G0039036 |
| 9 BEANS AND A BURRITO | G0042014 |
| 9 PEAKS RANCH | G0046383 |
| 929 HOFFMAN INC | G0043844 |
| A & A SLACK LLC | G0044752 |
| A & D ENTERPRISES LLC | G0043125 |
| A & E PLUMBING LLC | G0045084 |
| A & L BEER AND WINE LLC | G0044613 |
| A & M TRANSPORT LLC | G0044845 |
| A & S HEATING AND COOLING INC | G0045471 |
| A & W ENTERPRISES LLC | G0043688 |
| A 1 AMBULANCE INC | G0036972 |
| A A ARCHITECTURE LLC | G0044015 |
| A AND E PARTS INC | G0038971 |