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 |
|---|---|
| IMPERIAL GRANITE & QUARTZ | G0039903 |
| IMPERIUM TOOL & INSTRUMENT INC | G0038717 |
| IMW COMPANY LLC | G0042200 |
| IN OUR BACKYARD | G0040372 |
| IN THE BREEZE LLC | G0040666 |
| IN TOUCH PHYSICAL THERAPY AND SPORTS MEDICINE | G0042426 |
| INCYTE MARKETING | GS900013 |
| INDEPENDENT CONSULTING LLC | G0044721 |
| INDEPENDENT ELECTRICAL SERVICES LLC | G0043341 |
| INDEPTH SOLUTIONS | GE000951 |
| INDIAN HAMMER VETERINARY CLINIC | G0035381 |
| INDIAN LAW RESOURCE CENTER | G0038541 |
| Individual Policy | G0015323 |
| Individual Policy | GS900198 |
| Individual Policy | G0037058 |
| Individual Policy | G0018561 |
| Individual Policy | G0037500 |
| Individual Policy | G0036811 |
| Individual Policy | G0010595 |
| Individual Policy | G0038732 |