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 |
|---|---|
| NORTHWEST QUALITY ROOFING LLC | G0039321 |
| NORTHWEST READY MIX | G0017600 |
| NORTHWEST SOLVENT AND SUPPLY INC | G0010433 |
| NORTHWEST SPECIALTY CLINICS LLC | G0039457 |
| NORTON CATTLE COMPANY | G0042370 |
| NOVASCARPA GROUP LLC | G0032533 |
| NOVUS WINDSHIELD DOCTOR NFIB | G0034482 |
| NOWHAUS LLC | G0039041 |
| NSF FARMS | G0041642 |
| NUVEK LLC | G0045221 |
| NUVU GLASS INC | G0042015 |
| NVS ARCHITECTS | G0044716 |
| NW CONCRETEWORKS INC | G0042155 |
| NW ESTATE LAW LLC | G0042821 |
| NW GREEN PANELS LLC | G0041668 |
| NW HEATING AND AIR CONDITIONING INC | G0022835 |
| NW MT ASSOC OF REALTORS NMAR | G0045320 |
| NW SIGN RECYCLING | G0039806 |
| NW SPINE SURGERY LLC | G0045529 |
| NW SUPERMARKETS INC | G0040988 |