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 |
|---|---|
| Individual Policy | G0016509 |
| Individual Policy | G0038330 |
| Individual Policy | G0030527 |
| Individual Policy | GS900210 |
| Individual Policy | G0011290 |
| Individual Policy | G0010023 |
| Individual Policy | G0031637 |
| Individual Policy | G0010071 |
| Individual Policy | G0013225 |
| Individual Policy | G0011284 |
| Individual Policy | G0039042 |
| Individual Policy | G0037389 |
| Individual Policy | G0035760 |
| Individual Policy | G0033770 |
| Individual Policy | G0013808 |
| Individual Policy | G0021075 |
| Individual Policy | G0037706 |
| Individual Policy | GE000155 |
| Individual Policy | G0036486 |
| Individual Policy | G0037070 |