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 |
|---|---|
| AA RITE WAY ROOFING | G0043712 |
| AARONS AUTOMOTIVE REPAIR | G0043485 |
| AASUM AQUISITION COMPANY | G0045534 |
| ABA MONTANA LLC | G0046145 |
| ABC ENTERPRISES LLC | G0044639 |
| ABC OFFICE SHARE LLC | G0038189 |
| ABC SEAMLESS | G0036959 |
| ABE JONES SEPTIC SERVICE INC | G0043814 |
| ABE MURNION NFIB | G0035098 |
| ABERCROMBIE PIPELINE SERVICES LLC | G0042925 |
| ABILITREE | G0037987 |
| ABRAHAM CONSTRUCTION SERVICES LLC NFIB | G0034662 |
| ABSOLUTE SERENITY ADULT FOST | GS900260 |
| ABSOLUTE VINYL INC | G0035431 |
| ABUNDANT GRACE MARKET INC | G0043115 |
| ACCENT BUILDERS LLC | G0019274 |
| ACCENT FLOORING INC | GE000156 |
| ACCESS MONTANA COBRA | G0035345 |
| ACCESS ORGANICS INC | G0045808 |
| ACCOUNTING & TAX SOLUTIONS PC | G0045821 |