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 |
|---|---|
| CITY OF EUGENE ACTIVE | G0017880 |
| CITY OF FILER | G0040883 |
| CITY OF GRANTS PASS | G0020854 |
| CITY OF HANSEN | G0042337 |
| CITY OF HOLLISTER | G0044773 |
| CITY OF IDAHO FALLS | G0042788 |
| CITY OF JEROME | G0041709 |
| CITY OF LA GRANDE | G0018626 |
| CITY OF LAPINE | G0045774 |
| CITY OF MEDFORD MPOA | G0033311 |
| CITY OF MELBA | G0039371 |
| CITY OF NORTH BEND | G0017572 |
| CITY OF PLUMMER | G0044033 |
| CITY OF POCATELLO | G0045585 |
| CITY OF REDMOND | G0020715 |
| CITY OF ROSEBURG | G0021691 |
| CITY OF SPRINGFIELD ACTIVE | G0020720 |
| CITY OF THE DALLES | G0018627 |
| CITY OF WENDELL | G0042022 |
| CITY PLYWOOD CENTER INC | G0044545 |