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 |
|---|---|
| FIRST FEDERAL SAVINGS BANK OF TWIN FALLS | G0041705 |
| FIRST FINANCIAL EQUITY CORPORATION | G0037499 |
| FIRST MADISON VALLEY BANK | G0035352 |
| FIRST MONTANA TITLE COMPANY OF HAMILTON | G0038552 |
| FIRST RATE PROPERTY MANAGEMENT | G0019247 |
| FIRST RESPONSE RESTORATION SERVICE INC | G0045272 |
| FIRST SECURITY BANK OF HELENA | G0035321 |
| FIRST SECURITY BANK OF ROUNDUP | G0044377 |
| FIRST STRIKE ENVIRONMENTAL CO | G0010126 |
| FIRST TEE INC | G0041093 |
| FIRST UNITED METHODIST CHURCH | G0034732 |
| FIRST WORDS SPEECH AND LANGUAGE CLINIC | G0039054 |
| FIRSTHARVEST INC | G0037852 |
| FISH BREEDERS OF IDAHO INC | G0043193 |
| FISHCAMP CUSTOM LLC | G0039892 |
| FISHER HALL LLC | G0045459 |
| FISHER NICHOLSON REALTY LLC | G0038082 |
| FISHERS DOCUMENT SYSTEMS INC | G0045061 |
| FITCH AND SON LOGGING CORP | G0030950 |
| FIVE RIVERS FAMILY PRACTICE | GE000055 |