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 |
|---|---|
| KSQUARED LLC | G0046044 |
| KSR LLC | G0041685 |
| KT EXCAVATION LLC | G0042090 |
| KTTS | G0046112 |
| KUBOTA PHOTO-DESIGN INC BCOC | G0033565 |
| KUHLMAN LAW LLC | G0040754 |
| KUHN AND KUHN PC INC | GE000369 |
| KUHN PROPERTIES LLC | G0035686 |
| KUJALA LLC NFIB | G0034476 |
| KURTS POLARIS INC | G0036250 |
| KUTLESS INC | G0015692 |
| KYLAN PETERSON DO PLLC | G0043293 |