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 |
|---|---|
| THE BRIAR SHOPPE | G0032131 |
| THE BRIARWOOD | G0045465 |
| THE BROTHERS RABE LLC | G0042607 |
| THE CENTER FOR COUPLES AND SEX THERAPY LLC | GE000755 |
| THE CHILDRENS LEARNING CENTER | G0046253 |
| THE CLOCKMAKERS GALLERY | G0010721 |
| THE CLUB SALON | GS900189 |
| THE COLLEGE MUSIC SOCIETY | G0038062 |
| THE COLOR WHEEL COMPANY | G0031689 |
| THE COMMITTEE | G0043870 |
| THE CONFIDENT STITCH | G0038332 |
| THE CONNECTORS LLC | G0046314 |
| THE COUNSOULER PLLC | G0045480 |
| THE COZY NEST NFIB | G0034617 |
| THE CRAIG GROUP NW LLC | GS900024 |
| THE CRITICAL THINKING COMPANY | G0046212 |
| THE DAILY COFFEE BAR INC NFIB | G0034618 |
| THE DALLES AUTOMOTIVE LLC | G0044765 |
| THE DALLES IRON WORKS LLC | G0040635 |
| THE DEKALB GROUP PC | G0018222 |