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 |
|---|---|
| SELECT AUTO SALES INC | G0039204 |
| SELECT STONE INC | G0038146 |
| SELF STORAGE ADVISORS LLC | G0045644 |
| SEMILINK MATERIALS LLC | G0045147 |
| SEN LLC | G0042941 |
| SEND TRANSPORTATION INC | G0039854 |
| SENIOR SOLUTIONS LLC | G0044606 |
| SENSENBACH PAINTING INC | G0046070 |
| SENTINEL MENTAL HEALTH INC | G0044998 |
| SEPTICNET INC | G0042555 |
| SERENDIPITY EYECARE LLC | G0039908 |
| SERENITY LANE | G0037881 |
| SERENITY LIVING INC | G0046293 |
| SERRES GREENHOUSES AND FARM | G0016227 |
| SERVICE EXPRESS LLC | GE000738 |
| SERVICE EXPRESS LLC | G0042740 |
| SERVICE RITE ELECTRIC LLC | G0044557 |
| SERVICE SOLUTIONS OF OREGON | G0039726 |
| SETH WOOD FARMS INC | G0038703 |
| SETNIKER TRADING CO INC | G0046139 |