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 |
|---|---|
| INDUSTRIAL ENGINE SERVICE CO | G0043218 |
| INDUSTRIAL PIPE AND SUPPLY CO INC | G0032201 |
| INDUSTRIAL REBUILDERS CORP | G0017099 |
| INDUSTRIAL VENTILATION INC | G0045130 |
| INFINITE - FISH GROUP LLC | G0038641 |
| INFINITE HEALING SOLUTIONS | GE000934 |
| INFINITY HEALTH PHYSICAL THERAPY AND WELLNESS | G0044259 |
| INIMMUNE CORP | G0037538 |
| INKWELL CREATIVE | G0016142 |
| INLAND CONSTRUCTION CORPORATION | G0044069 |
| INLAND CRANE | G0045475 |
| INN AT 500 CAPITOL LLC | G0036732 |
| INN AT FIFTH STREET LLC | G0036706 |
| INN AT SPANISH HEAD | G0020051 |
| INN AT THE UNIVERSITY DOWNTOWN LLC | G0045602 |
| INNERCEPT LLC | G0044037 |
| INNERHEALTH MD PC | G0045816 |
| INNOVADEV LLC | G0045646 |
| INNOVATIVE CONSTRUCTION | G0045428 |
| INNOVATIVE ENGINEERING INC NFIB | G0034761 |