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 |
|---|---|
| DP LOGISTICS CORPORATION | G0046202 |
| DR BIANKA MUNOZ DC LLC | G0041578 |
| DR DONDO DENTAL EXCELLENCE | G0045811 |
| DR KEVIN PLUMMER | G0043772 |
| DR MARK A PLANT DDS PA | G0038293 |
| DR TIMOTHY R FREEH AND ASSOCIATES | G0035797 |
| DR WALL & ASSOCIATES | G0042593 |
| DR WILLIAM F MAY MD PA | G0039559 |
| DRAGONFLY TRANSITIONS | G0018935 |
| DRAKE DIVERSIFIED LLC | G0043594 |
| DRANGE APIARY INC | G0036948 |
| DREW PAINTS INC | G0039690 |
| DRG ENTERPRISES INC | G0045666 |
| DRG ENTERPRISES INC | G0035989 |
| DRIP DEPOT INC | G0031922 |
| DRISCOLL BROTHERS | G0032561 |
| DRISCOLL MANAGEMENT LLC | G0044288 |
| DRIVE CAR WASH INC | G0044221 |
| DROP IT MODERN INC | GE000881 |
| DROPLINE DESIGNS LLC | G0040777 |