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 |
|---|---|
| INTERMOUNTAIN HEATING AND AIR CONDITIONING | G0045773 |
| INTERMOUNTAIN INDUSTRIAL INC NFIB | G0034454 |
| INTERMOUNTAIN PUBLIC DEFENDER INC | G0018783 |
| INTERNATIONAL HUNTER EDUCATION ASSOCIATION - USA | G0044565 |
| INTERNATIONAL WILDLIFE FESTIVAL LTD | G0037096 |
| INTERNATIONAL WRITERS GROUP LLC | G0039732 |
| INTERSTATE BODY SHOP INC | G0044297 |
| INVASIVE SPECIES ACTION NETWORK | G0037653 |
| INVENTURE ENGINEERING AND MACHINE LLC | G0036900 |
| INVESTMENT INCOME GROUP LLC | G0032400 |
| INVISIBLE FENCE OF THE TREASURE VALLEY | G0045468 |
| IRON HORSE GOLF CLUB | G0039846 |
| IRON MOUNTAIN FABRICATION LLC | G0045807 |
| IRON OAK ENGINEERS | G0044949 |
| IRON STAR CONSTRUCTION LLC | G0045157 |
| ISABEL FRANCIS SMITH LTD | G0039694 |
| ISBELL INDUSTRIES LLC | G0045440 |
| ISLAND MARKET COMPANY WGT | G0040759 |
| IT NUTRITION LLC | G0043711 |
| IVORY EDGE | G0044021 |