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 |
|---|---|
| ADVANCED HAND THERAPY | G0039729 |
| ADVANCED HYDRAULIC SUPPLY CO | G0032048 |
| ADVANCED IMAGING AT COMMUNITY MED CENTER | G0045306 |
| ADVANCED INDUSTRIAL SUPPLY | G0032710 |
| ADVANCED LITHO PRINTING LLC | G0038533 |
| ADVANCED MACHINING SERVICES LLC | G0045928 |
| ADVANCED MATERIAL SOLUTIONS LLC | G0043185 |
| ADVANCED MECHANICAL INC | G0040731 |
| ADVANCED NORTHWEST WELDING LLC | G0012250 |
| ADVANCED ORTHOPEDICS AND SPORTS MEDICINE | G0045607 |
| ADVANCED PERFORMANCE AND REHABILITATION SERVICES | G0037145 |
| ADVANCED POWDER COATING NFIB | G0035112 |
| ADVANCED PROCESS TECHNOLOGY | G0037674 |
| ADVANCED REFRIGERATION AND APPLIANCES INC | G0040008 |
| ADVANCED REHABILITATION SERVICES LLC | G0036788 |
| ADVANCED ROOFING NFIB | G0034307 |
| ADVANTAGE AGRONOMY INC | G0045194 |
| ADVANTAGE EMPLOYER SOLUTIONS LLC | G0019355 |
| ADVANTAGE HOME CARE INC | G0041608 |
| ADVANTAGE HOME CARE OF DOUGLAS COUNTY INC | G0041296 |