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 |
|---|---|
| KODA CAPITAL INC | G0044319 |
| KODIAK OUTDOORS LLC | G0042744 |
| KOFI INC | G0035158 |
| KOINONIA FINANCIAL SERVICES INC | G0045353 |
| KOLLIE LAW GROUP PC | G0043281 |
| KOOTENAI VISION CENTERS | G0036951 |
| KORBY BUILDERS LLC | G0044333 |
| KRAH USA LLC | G0042205 |
| KRAMERICA INDUSTRIES OF ID | G0043825 |
| KREDIT ELECTRIC INC | G0044298 |
| KREDIT ELECTRIC INC NFIB | G0034737 |
| KRIEG CHIROPRACTIC CENTER INC | G0045262 |
| KRIEGER INSURANCE INC | G0042780 |
| KRINGLES KORNER | G0046249 |
| KRISTENSEN EXCAVATION INC | G0043562 |
| KRISTI SCHIED OD PC | G0038113 |
| KRISTIN M LARSON PC | G0044554 |
| KRUSE ENTERPRISES INC | G0041238 |
| KRUSE FAMILY DEVELOPMENT CO LLC | G0036490 |
| KSJ ENTERPRISES LLC | G0043801 |