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 |
|---|---|
| LE CABINET SHOPPE INC | G0043572 |
| LEADING EDGE AVIATION | G0044505 |
| LEADINGAGE OR PIONEER NURSING HOME HEALTH DIST | G0032157 |
| LEADINGAGE OREGON CAPITAL MANOR | G0032147 |
| LEADINGAGE OREGON CASCADE MANOR | G0032148 |
| LEADINGAGE OREGON CHAUCER COURT | G0033377 |
| LEADINGAGE OREGON CONCEPTS IN COMMUNITY LIVING | G0032150 |
| LEADINGAGE OREGON FRIENDSVIEW MANOR | G0032151 |
| LEADINGAGE OREGON H2 MANAGEMENT LLC | G0041764 |
| LEADINGAGE OREGON HOMEWOOD CORPORATION | G0033369 |
| LEADINGAGE OREGON JEWISH FAMILY AND CHILD SERV | G0032154 |
| LEADINGAGE OREGON LAO | G0043837 |
| LEADINGAGE OREGON MANOR MANAGEMENT INC | G0032155 |
| LEADINGAGE OREGON PACIFIC RETIREMENT SERVICES | G0032158 |
| LEADINGAGE OREGON ROGUE VALLEY MANOR | G0032160 |
| LEAVING A LEGACY LLC | G0044981 |
| LEE C LONG DDS LLC | G0040332 |
| LEE GILMAN BUILDERS INC | G0045522 |
| LEEWAY ENGINEERING SOLUTIONS | G0042531 |
| LEFT FIELD ENTERPRISES LLC | G0033208 |