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 |
|---|---|
| DW BURNS PLUMBING AND HEATING INC | G0045497 |
| DWA TRADE SHOW AND EXPOSITION SERV | G0031836 |
| DYNAMIC ANALYSIS ENGINEERING CONSULTING INC | G0041902 |
| E A CHAMBERS FARM INC | G0030465 |
| E BAR L RANCH LLP | G0042198 |
| E MT COMM MENTAL HEALTH | G0043614 |
| E Z PROPANE LLC | G0043914 |
| EAGLE BANK | G0036692 |
| EAGLE CARRIAGE & MACHINE | G0044383 |
| EAGLE POINT HARDWARE | G0040798 |
| EAGLE TIRE LLC | G0041294 |
| EAGLE VENEER INC | G0017291 |
| EAR NOSE THROAT ASSOC GRANTS PASS | G0018611 |
| EARLYWOOD LLC NWIPCA | G0043460 |
| EARTH FORTIFICATION SUPPLIES CO | G0017902 |
| EAST CASCADE COUNSELING SERVICES LLC | G0036637 |
| EAST CASCADE WOMENS GROUP PC | G0043446 |
| EAST CASCADES WORKFORCE INVESTMENT BOARD | G0035925 |
| EAST LANE VETERINARY HOSPITAL | GE000919 |
| EAST LINN CHRISTIAN ACADEMY | G0018509 |