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 |
|---|---|
| JBT HOLDINGS LLC | G0044611 |
| JC DIRTWORKS LLC | G0043254 |
| JC MARKET OF TOLEDO INC WGT | G0043315 |
| JCS OREGON LLC | G0018646 |
| JED D KEENER DDS LLC | G0044364 |
| JEFF A MCLEAN INC | G0043426 |
| JEFF GAMET LOGGING INC | G0038626 |
| JEFF GARTNER TRUCKING | G0042202 |
| JEFFREY J JOHNSON DDS PC BCOC | G0039522 |
| JEFFREY J KARVANDI DMD PLLC | G0042639 |
| JEFFREY L MILLER ARCHITECT PC | G0037718 |
| JEFFREY RINKOFF | G0031983 |
| JEFFRIES COURT REPORTING INC | GE000152 |
| JEM PRINT LLC | G0046137 |
| JENSEN & SON CONSTRUCTION INC | G0036523 |
| JENSEN AND SON CONSTRUCTION INC | GE000910 |
| JEREMY JOHNSON ENTERPRISES INC | G0038770 |
| JERIMIE GOODWIN CONSTRUCTION LLC | G0044169 |
| JERIMY CRAIG LLC | G0040375 |
| JEROME CEMETERY MAINTENANCE DISTRICT | G0039755 |