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 |
|---|---|
| SCOTTIES PIZZA PARLOR | G0041483 |
| SCOTTYS INC | G0015548 |
| SCS UNLIMITED INC | G0042541 |
| SDJ LLC | G0044208 |
| SDM INC | G0044790 |
| SDS2 GROUP LLC XEN | G0018008 |
| SE IDAHO WELLNESS LLC | G0046338 |
| SEA & ADVENTURES INC | G0039426 |
| SEASHORE INN | G0018532 |
| SEASTROM MANUFACTURING CO INC | G0045053 |
| SECOR CONSTRUCTION | G0043469 |
| SECURE HOUSING LLC | GE000912 |
| SECURE TRANSPORTATION OF OREGON LLC | G0033604 |
| SECURITY SOLUTIONS INC | G0044163 |
| SEID CRANE SERVICE INC | G0037660 |
| SEINIGER LAW OFFICES | G0036552 |
| SELAH COUNSELING & WELLNESS LLC | G0042795 |
| SELAH COUNSELING AND WELLNESS | G0044929 |
| SELCO COMMUNITY CREDIT UNION | G0017120 |
| SELECT AIR LLC | G0040358 |