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 |
|---|---|
| ENCOMPASS SUPPLY LLC | G0043405 |
| ENCORE 401K LLC | G0044492 |
| ENCORE PROPERTY MANAGEMENT | GS900232 |
| ENDOCRINOLOGY SERVICES NW LLC | G0039993 |
| ENDOMINES IDAHO LLC | G0038811 |
| ENERGY AND AIR SYSTEMS INC NFIB | G0034401 |
| ENERGY PARTNERS LLC | G0035002 |
| ENERGY TRUST OF OREGON INC | G0020806 |
| ENERSTAR RENTALS AND SERVICES NFIB | G0035275 |
| ENGINEERED SYSTEMS ASSOCIATES PLLC | G0046502 |
| ENGINEERING SYSTEM SOLUTIONS LLC | G0019204 |
| ENGINEERING WEST LLC NFIB | G0035074 |
| ENNOBLE DESIGN LLC | G0042691 |
| ENVIROLOGIC RESOURCES INC | G0018623 |
| EPIC IMAGING PC - EAST | G0030248 |
| EPIKOS | G0044488 |
| EQUANIMITY HEALTHCARE PC | G0036712 |
| EQUINE SPORTS MASSAGE THERAPY | GS900066 |
| EQUIPPED MD INC | G0042756 |
| EQUITY MANAGEMENT INC | G0034402 |