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 |
|---|---|
| INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC | G0045312 |
| INNOVATIVE PLUMBING AND MECHANICAL | G0041665 |
| INNSPACE PROJECTS LP | G0045492 |
| INNTECK USA | G0036691 |
| INSIGHT NORTHWEST COUNSELING | G0042963 |
| INSIGHT NORTHWEST RECOVERY | G0045523 |
| INSILICO | G0032218 |
| INSPIRATION SOFTWARE INC XEN | G0030973 |
| INSPIRE WEALTH PARTNERS LLC | G0043830 |
| INSURE IDAHO LLC | G0038846 |
| INTEGRATED BUSINESS TECHNOLOGIES LLC | G0040300 |
| INTEGRATED DISABILITY MANAGEMENT INC | G0036668 |
| INTEGRATED ENGINEERING SOFTWARE | G0034163 |
| INTEGRATED EYE CARE | G0046226 |
| INTEGRATING SYSTEMS INC | G0041919 |
| INTEGRITY AUTO SERVICE | G0045706 |
| INTEGRITY BOOKKEEPING INC | G0032750 |
| INTEGRITY WINDOW & DOOR | G0043771 |
| INTERIM THRIVAL LLC | G0033319 |
| INTERMOUNTAIN AQUATICS INC | G0032736 |