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 |
|---|---|
| ORTHOPEDIC AND FRACTURE CLINIC PC | G0035881 |
| ORTHOPRO OF TWIN FALLS INC | G0039207 |
| OS MANAGEMENT LLC | G0046119 |
| OSBURN FENCE & FABRICATION LLC | G0045519 |
| OSD DEVELOPMENT LLC | G0039817 |
| OSLER LOGGING | G0038338 |
| OSLUND DESIGN INC | G0010030 |
| OSTEOPATHIC CONSULTANTS LLC | G0011213 |
| OSU FEDERAL CREDIT UNION | G0030793 |
| OSU GRADUATE ASSISTANT HEALTH INSURANCE | G0021007 |
| OSWOOD CONSTRUCTION COMPANY | G0044418 |
| OUTBACK MANUFACTURING INC | G0014758 |
| OUTBACK OPERATION LLC | G0044631 |
| OUTBACK POOL AND SPA CO | G0040137 |
| OUTBACK STRONG INC | G0045840 |
| OUTDOOR DESIGN STUDIOS | G0044578 |
| OUTFITTERS SUPPLY INC | G0037078 |
| OUTREACH TRANSPORTATION SERVICES LLC | G0042823 |
| OVERHEAD DOOR CO OF SOUTHERN MT | G0034696 |
| OVERHEAD DOOR OF SW IDAHO | G0043244 |