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 |
|---|---|
| JEROME HIGHWAY DISTRICT | G0042811 |
| JEROME TRUCK SERVICE | G0041917 |
| JERRYS RV SERVICE CENTER | G0043230 |
| JESSE HUNT LOGGING LLC | G0045064 |
| JESSICA HENDERSON DMD PC | GE000958 |
| JET EMPLOYMENT SOLUTIONS | G0044793 |
| JETCO ENERGY SERVICES | G0045704 |
| JETW | G0010934 |
| JEWEL BASIN DENTISTRY | G0042896 |
| JFFS INC | G0045952 |
| JGS PRECISION TOOL MFG LLC | G0045881 |
| JH MANAGEMENT INC | G0042783 |
| JIM SIGEL ENTERPRISES INC | G0039769 |
| JIM SWIFT COMPANY INC | G0045911 |
| JIMS SUPER MARKET INC | G0040834 |
| JINOO HWANG ATTY & COUNSELOR AT LAW LLC | G0045248 |
| JINSEI SPA | G0038152 |
| JIVARO INC | G0042757 |
| JIVARO PROFESSIONAL HEADHUNTERS | G0046276 |
| JKC AUTOMOTIVE INC | G0017682 |