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 |
|---|---|
| GRAND UNION ENTERPRISES INC | G0044701 |
| GRANITE AMUSEMENT CO | G0035853 |
| GRANITE AUTO SALES INC | G0044729 |
| GRANITE COUNTY MEDICAL CENTER COBRA | G0035472 |
| GRANITE FINANCIAL MANAGEMENT INC | G0017350 |
| GRANITE HOLDINGS NFIB | G0034421 |
| GRANITE PEAK ORTHODONTICS | G0043398 |
| GRANITE PEAK PLUMBING AND HEATING INC | G0035473 |
| GRANITE PHARMACY | G0035516 |
| GRANT CREEK PLUMBING | G0044464 |
| GRANTS PASS JET BOATS | G0031230 |
| GRANTS PASS PEDIATRICS | G0038792 |
| GRANTS PASS SOBERING CENTER | G0043678 |
| GRAPELAND ACQUISITIONS | G0031016 |
| GRAVEN ENTERPRISES INC | G0036577 |
| GRAVITAS INC | G0042483 |
| GRAVITY PLUMBING INC | G0032280 |
| GRAYBACK FORESTRY INC | G0015904 |
| GRAYBEAL HEATING & AC SERVICE INC | G0036469 |
| GREAT AMERICAN SLEEP CENTER INC | G0044636 |