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 | G0036853 |
| Individual Policy | G0014142 |
| Individual Policy | G0038473 |
| Individual Policy | G0018521 |
| Individual Policy | G0038433 |
| Individual Policy | G0032365 |
| Individual Policy | G0010884 |
| Individual Policy | G0037421 |
| Individual Policy | G0038890 |
| Individual Policy | G0016340 |
| Individual Policy | G0035721 |
| Individual Policy | G0037099 |
| Individual Policy | G0031555 |
| Individual Policy | G0038346 |
| Individual Policy | G0014702 |
| Individual Policy | G0019124 |
| Individual Policy | G0021361 |
| Individual Policy | G0030116 |
| Individual Policy | G0033002 |
| Individual Policy | G0033000 |