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 |
|---|---|
| KJ HOME SERVICES LLC | G0042699 |
| KKD ROGERS LLC | G0043107 |
| KLAMATH COUNTY FIRE DISTRICT 1 | G0018453 |
| KLAMATH HOSPICE AND PALLIATIVE CARE | G0046334 |
| KLAMATH HOUSING AUTHORITY | G0017768 |
| KLAMATH LAKE COUNTIES FOOD BANK | G0045217 |
| KLAMATH SISKIYOU WILDLANDS CENTER | G0014985 |
| KLAMATH SURGERY CENTER LLC | G0018822 |
| KLAMATH VECTOR CONTROL | G0033474 |
| KLEENAIR PRODUCTS CO | G0046377 |
| KLEIN CONSTRUCTION INC | G0044854 |
| KLS HYDRAULICS AND MACHINE WORKS LLC | G0036684 |
| KMR INC | G0044986 |
| KMR INVESTMENTS LLC | G0038990 |
| KNAUB AND COMPANY PC | G0036774 |
| KNIGHT PLUMBING & CONSTRUCTION INC | GE000884 |
| KNOW LEDGE ENGINEERING LLC | G0042975 |
| KNUDSON LOGGING INC | G0015853 |
| KNUTSEN INSURANCE | G0030473 |
| KOBOS INC | G0042687 |