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 |
|---|---|
| A BRIDGE HOME | G0044691 |
| A CLASSIC JOURNEY OUTFITTERS LLC | G0037262 |
| A E NELSON LEATHER CO | G0017355 |
| A HELPING HAND BUSINESS SERVICES INC | G0042353 |
| A LUCKER LLC | G0045026 |
| A P ROOFING & CONSTRUCTION LLC | G0042474 |
| A PEDERSONS PLUMBING INC | G0040787 |
| A PENNY A POST CLEANERS LLC | G0044040 |
| A PRO PLUMBING INC | G0032574 |
| A SCOTT JACKSON TRUCKING INC | G0045559 |
| A SERIES OF TETON GRP ENTERPRISES A DELAWARE LLC | G0043127 |
| A WEST PACIFIC CONTRACTORS LLC | GE000754 |
| A&C FARMS LLC | G0046147 |
| A&J STORES INC WGT | G0041888 |
| A-1 AMBULANCE INC NFIB | G0035095 |
| A1 HEATING AIR CONDITIONING & ELECTRIC | G0044242 |
| A1 JOHNSON AUTO WRECKING | G0036920 |
| A1 MUFFLERS & AUTO REPAIR | G0038940 |
| A2Z SECURITY | G0045759 |
| A2Z SUPPLY | G0045119 |