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 |
|---|---|
| HARMONY FARMS | GE000973 |
| HARMONY ORGANIC DAIRY LLC | G0041200 |
| HARNEY COUNTY SENIOR & COMMUNITY SERVICE CENTER | GE000855 |
| HARPER L JONES II DMD PC | G0044713 |
| HARRINGTON IMAGES INC BCOC | G0036609 |
| HARRISON DENTAL INC | G0022833 |
| HARRISON ELECTRIC WORKERS | GA000003 |
| HARRISON FAMILY MEDICINE | G0038121 |
| HARTMAN FARMS INC | G0042131 |
| HASKETT WILLIAMS MONAGHAN LLC | G0046261 |
| HATCH PEDIATRICS | G0038040 |
| HAUGENOE PLUMBING INC NFIB | G0034433 |
| HAUSER COMMUNITY CHURCH | G0039553 |
| HAWK AND HANSEN PROPERTIES | G0039881 |
| HAWK PROS CONTROL | G0045357 |
| HAWKINS ELECTRIC LLC | G0046351 |
| HAWLEY LAND & CATTLE LLC | G0040156 |
| HAY CREEK RANCH OF MADRAS | G0041225 |
| HAYDEN CONTRACTING SERVICES LLC | G0043741 |
| HAYDEN DENTAL | G0016613 |