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 |
|---|---|
| DATSOPOULOS MACDONALD AND LIND PC | G0043205 |
| DAVE FIELD COMPANY | G0036685 |
| DAVES DEVS LLC | G0042436 |
| DAVES PLUMBING INC NFIB | G0034381 |
| DAVES REPAIRS | G0043663 |
| DAVES TOWING LLC | G0037954 |
| DAVID H WHITE DMD LLC | GE000941 |
| DAVID HENINGER DDS PC | G0019341 |
| DAVID J WILCOX DMD INC | G0038405 |
| DAVID L WISE MD PLLC | G0044723 |
| DAVID MCCORMACK CONSTRUCTION | G0045642 |
| DAVID PHILLIPS | GS900116 |
| DAVIS AND CLARK AUTOMOTIVE REPAIR | G0046118 |
| DAVIS FARMS OF OREGON | G0040432 |
| DAVIS HEARN ANDERSON AND TURNER PC | G0015219 |
| DAY VENGLEY AND ASSOCIATES LLC | G0030091 |
| DBRIDGE INC | G0041262 |
| DC ELECTRIC | G0046382 |
| DCB HOLDINGS LLC | G0046197 |
| DCM MONTANA LLC | G0045878 |