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 |
|---|---|
| Individual Policy | G0033723 |
| Individual Policy | G0021369 |
| Individual Policy | G0035455 |
| Individual Policy | G0012851 |
| Individual Policy | G0021420 |
| Individual Policy | G0031888 |
| Individual Policy | G0033705 |
| Individual Policy | G0010716 |
| Individual Policy | G0035828 |
| Individual Policy | G0038324 |
| Individual Policy | G0017437 |
| Individual Policy | G0038318 |
| Individual Policy | G0021452 |
| Individual Policy | G0035779 |
| Individual Policy | G0021499 |
| Individual Policy | GE000225 |
| Individual Policy | G0018663 |
| Individual Policy | G0036407 |
| INDUSTRIAL BUILDERS INC | G0045696 |
| INDUSTRIAL ELECTRIC MOTOR SERVICE INC | G0041025 |