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 |
|---|---|
| GO BOL OREGON LLC | GE000200 |
| GO BOL OREGON LLC | G0035960 |
| GO MINIS OF BOISE | GE000572 |
| GOCORT INC | G0038370 |
| GOLD BAR FAMILY GROCER INC | G0040892 |
| GOLD RING TRANSPORTATION LLC | G0041895 |
| GOLD STANDARD CASINO LLC | G0038953 |
| GOLDEN AGE LIVING LLC | G0045677 |
| GOLDEN JASMINE LLC | G0040613 |
| GOLDEN NORTHWEST | G0038063 |
| GOLDEN SUNSET EQUIPMENT | G0043692 |
| GOLDENVIEW FARMS INC | G0042461 |
| GOLDER CO INC | G0044460 |
| GOLDS GYM | G0043474 |
| GOOD & TIGHT PLUMBING LLC | G0045757 |
| GOOD 2 GO OREGON INC | G0037220 |
| GOOD STUFF NFIB | G0034274 |
| GOODEN CONSTRUCTION | G0040941 |
| GOODEN-HARRISON CONSTRUCTION | G0016261 |
| GOODING PHARMACY INC | G0036702 |