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 |
|---|---|
| LEGACY EMPLOYEE HEALTH PLAN | G0035912 |
| LEGACY LAND HOLDINGS LLC | G0045992 |
| LEGACY MARTIAL ARTS LLC NFIB | G0034488 |
| LEGAL SOFTWARE SYSTEMS INC | G0037975 |
| LEGION VILLA INC | G0036803 |
| LEGUM INCORPORATED | G0042366 |
| LEILA TARSA DDS MS LLC | G0010899 |
| LEISURE LEIGH PROPERTIES LLC | G0044802 |
| LEISURE TIME OF BOISE INC | G0037466 |
| LELAND FOWLER TRUCKING LLC | G0045588 |
| LEMELSON WINERY LLC | G0033257 |
| LEMON SHARK | G0041614 |
| LEMON SHARK | GE000733 |
| LENNARD S WILSON MD PLLC | G0034115 |
| LENTZ FAMILY ENTERPRISES LLC | GE000845 |
| LEONA MAE INC | G0040202 |
| LEONARD E VAINIO & DAVID G VAINIO PC | G0046134 |
| LEONARD GERIG | G0032018 |
| LEONARDO EXCAVATION LLC | G0046347 |
| LEONARDO EXCAVATION LLC | G0046396 |