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 |
|---|---|
| BETHLEHEM INN INC | G0033503 |
| BETTENCOURT DAIRIES LLC | G0045627 |
| BETTER BODY FITNESS OF MONTANA INC | G0039652 |
| BETTER BODY FITNESS OF MT INC NFIB | G0034322 |
| BETTER WORLD HOLDINGS LLC | G0045577 |
| BETTS RANCH | G0043108 |
| BETTYS DIVINE INC | G0046043 |
| BETWEEN THE BOARDS LLC | G0039580 |
| BEVEL CRAFT BREWING INC | G0045177 |
| BEYERS MARKET INC | G0040822 |
| BH & RH INVESTMENTS LLC | G0041205 |
| BIC LLC | G0044779 |
| BIERSON CORPORATION | G0039551 |
| BIFROST CAPITAL PARTNERS INC | G0040261 |
| BIG BEAR SIGN CO INC | G0036625 |
| BIG BLISS LLC | G0045998 |
| BIG BROTHERS AND SISTERS OF BUTTE SILVER BOW | G0046158 |
| BIG BROTHERS BIG SISTERS OF BIG SKY COUNTRY | G0045314 |
| BIG BROTHERS BIG SISTERS OF FLATHEAD COUNTY | G0037472 |
| BIG DIPPER RETAIL INC | G0039843 |