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 |
|---|---|
| HAYES CONSTRUCTION CO INC | G0022291 |
| HAYES PROJECT PLLC | G0036860 |
| HCF INC | GS900169 |
| HD ENTERPRISES LLC | G0044300 |
| HD GROUP LLC | G0036830 |
| HDD INC | G0044879 |
| HEAD & HEART THERAPY | G0042673 |
| HEAD EAST PORTLAND INC | GE000756 |
| HEADLEY VENTURES LLC | G0040397 |
| HEADWATER CAPITAL | G0037325 |
| HEADWATERS CONSTRUCTION COMPANY | G0045691 |
| HEADWATERS CONSTRUCTION LLC | G0045339 |
| HEADWATERS ECONOMICS | G0035047 |
| HEADWATERS ENGINEERING INC | G0045552 |
| HEADWATERS HEALTH FOUNDATION OF WESTERN MONTANA | G0037486 |
| HEALING HOMES COUNSELING SERVICES LLC | G0045205 |
| HEALING MOUNTAIN MENTAL HEALTH LLC | G0046277 |
| HEALING REINS EQUINE ASSISTED SERVICES | G0045780 |
| HEALTH IN MOTION PHYSICAL THERAPY INC | G0037332 |
| HEALTH PROFESSIONALS ALLIANCE | G0040461 |