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 |
|---|---|
| BELL PLUMBING AND HEATING NFIB | G0034320 |
| BELL REPAIR LLC | GE000582 |
| BELL TURBO | G0018148 |
| BELLAMAH VEIN AND SURGERY CLINIC | G0035461 |
| BELLATRIX SYSTEMS INC | G0033575 |
| BELLE CHEMICAL | G0038725 |
| BELNAP FARMS LLC | G0019314 |
| BEN AND MARYS TINT SHOP LLC | G0037369 |
| BEN FRANKLIN CRAFTS NFIB | G0034321 |
| BEN YOUNG LANDSCAPE ARCHITECT | G0037471 |
| BENCH CRAFT COMPANY | G0020344 |
| BENCO CONSTRUCTION INC | G0045617 |
| BEND ANESTHESIOLOGY GROUP PC | G0020794 |
| BEND ANIMAL HOSPITAL | G0045277 |
| BEND ANIMAL HOSPITAL PC | G0036463 |
| BEND BATTERY LLC | G0045089 |
| BEND BEYOND INC | G0045914 |
| BEND BLACKSMITH INC | G0040419 |
| BEND COMMERCIAL TIRE | G0046408 |
| BEND ELECTRIC INC | G0017235 |