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 |
|---|---|
| LES GRIBSKOV CO | G0044171 |
| LESLIE B ANTHONY DMD PC | G0045841 |
| LETS THINK UNIQUE | G0035677 |
| LEWIS AND CLARK COLLEGE | G0035861 |
| LEWIS BROS RENTAL CO | G0010902 |
| LEWIS COUNTY LUMBER PROD NWPT MFG | G0032366 |
| LEWISTOWN LUMBER NFIB | G0034489 |
| LGS OPERATING COMPANY | G0045035 |
| LIBBY AUTO PARTS INC | G0036751 |
| LIBBY CLINIC PLLP | G0038219 |
| LIBERTY ELECTRIC INC | G0046170 |
| LIBERTY RESTORATION INC | G0042534 |
| LIFE GUARD INSURANCE LLC | G0044018 |
| LIFE INCORPORATED | G0043178 |
| LIFE LOVE YOGA | GS900152 |
| LIFELAST INC XEN | G0017975 |
| LIFESPAN PSYCHIATRIC | G0043421 |
| LIFETIME VISION CARE LLC | G0045565 |
| LIFT ARCHITECTURE | G0044824 |
| LIFTING TECHNOLOGIES INC | G0037018 |