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 |
|---|---|
| HELIOS INDUSTRIES INC | G0041682 |
| HELLCATS INC | G0043004 |
| HELLGATE PLUMBING & HEATING INC | G0044369 |
| HELMS FAMILY DENTAL PRACTICE | G0037122 |
| HELPING HANDS RE ENTRY OUTREACH CENTERS | G0045436 |
| HEMR INDUSTRIAL CONTRACTORS LLC | G0045212 |
| HEMSLEY HEALTHCARE LLC | G0044798 |
| HEMSLEYS AUTO LLC | G0044398 |
| HENDERSON AND ASSOCIATES PLLC | G0034125 |
| HENDERSON AVIATION CO | G0043323 |
| HENRIS ROOFING & SUPPLY OF OREGON INC | G0045903 |
| HENSEN ENTERPRISES NFIB | G0034438 |
| HEO TECH INC | G0045179 |
| HERITAGE PLUMBING LLC | G0039734 |
| HERMISTON MEDICAL CENTER PC | G0046283 |
| HERMISTON VETERINARY CLINIC | G0044191 |
| HESTIA IN HOME SUPPORT LLC | G0043186 |
| HFT BPT IDAHO LLC | G0045382 |
| HIATT ENTERTAINMENT GROUP | G0037525 |
| HICKMAN WILLIAMS & ASSOCIATES INC | G0036748 |