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 |
|---|---|
| SAR ENVIRONMENTAL LLC | G0039334 |
| SARA BOILEN PSYD PLLC | G0041678 |
| SARAGOLD KENNELS LLC | GE000842 |
| SARAH L AGSTEN DO LLC | G0045848 |
| SARAHS BAGEL CAFE MERIDIAN | G0046316 |
| SATCHELL CHIROPRACTIC CLINIC PC | G0037409 |
| SATELLITE SPECIALIZED TRANSPORTATION INC | G0045754 |
| SAVING GRACE | G0044518 |
| SAVING GRACE INC | G0033556 |
| SAVY CORP | G0041598 |
| SAWTOOTH SHEET METAL & HEATING LLC | G0041264 |
| SAWTOOTH SUMMIT OPERATIONS INC | G0040143 |
| SAWTOOTH VALLEY BUILDERS LLC | G0043936 |
| SAWTOOTH VALLEY OUTFITTERS LLC | G0041203 |
| SAXONS FINE JEWELERS AND DESIGNERS | G0011263 |
| SBS SOLAR INC | G0045412 |
| SCHELL ACQUISTIONS INC | G0036205 |
| SCHELL DISTRIBUTING LLC | G0042932 |
| SCHNEIDER EQUIPMENT INC | G0032202 |
| SCHOCK LOGISTICS INC | G0039583 |