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 |
|---|---|
| PERSONNEL MANAGEMENT SERVICES | G0044660 |
| PEST PATROL MONTANA LLC | G0046426 |
| PETEKS AG SUPER MARKET INC NFIB | G0035115 |
| PETER YEGEN JR INC | G0042462 |
| PETER YEGEN JR INC NFIB | G0034543 |
| PETERSEN INC | G0041094 |
| PETERSON GROUP MONTANA LLC | G0042278 |
| PETERSON ORTHODONTICS | G0032622 |
| PETRICHOR SEARCH & SUCCESSION LLC | G0045708 |
| PETROLEUM CONSULTANTS LLC | G0045782 |
| PETTYJOHNS THE WATER STORE | G0037216 |
| PFEIFER AND ASSOCIATES | G0040746 |
| PFENDLER POST AND POLE INC | G0035423 |
| PFS MED INC | G0014389 |
| PHENIX FIBER OPTICS LLC | G0042616 |
| PHENOM FITNESS DISTRIBUTION LLC | G0046183 |
| PHILLIPS COUNTY HOSPITAL | G0043605 |
| PHILS ACE HARDWARE | G0030096 |
| PHOENIX BUSINESS SOLUTIONS LLC | G0043654 |
| PHOENIX FIRE PROTECTION LLC | G0045575 |