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 |
|---|---|
| WESTERN HORIZON INSURANCE LLC | G0046178 |
| WESTERN IDAHO COMMUNITY ACTION PARTNERSHIP | G0045601 |
| WESTERN INDUSTRIAL MOTOR & MACHINE | G0042609 |
| WESTERN JUSTICE ASSOCIATES PLLC | G0045776 |
| WESTERN LINE BUILDERS INC | G0042752 |
| WESTERN MERCANTILE AGENCY INC | G0040428 |
| WESTERN MILLWORK NFIB | G0034650 |
| WESTERN MONTANA AREA VI AGENCY ON AGING INC | G0039012 |
| WESTERN MONTANA EMERGENCY PHYSICIANS | G0038367 |
| WESTERN MONTANA ENGINEERING | G0034114 |
| WESTERN MONTANA FAMILY DENTISTRY PC | G0038951 |
| WESTERN MONTANA FOOT AND ANKLE PLLC | G0043486 |
| WESTERN MONTANA GROWERS COOPERATIVE LLC | G0040280 |
| WESTERN MONTANA LAND SERVICES LLC | G0045039 |
| WESTERN MONTANA ORTHOTICS & PROSTHETICS | G0042340 |
| WESTERN MOUNTAIN BUS SALES | G0037823 |
| WESTERN MT CHAPTER FOR PREVENTION OF ELDER ABUSE | G0037606 |
| WESTERN NATURAL GAS | G0037395 |
| WESTERN OFFICE EQUIPMENT NFIB | G0034651 |
| WESTERN PACIFIC TIMBER LLC | G0019072 |