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 |
|---|---|
| SIDDOWAY LAND COMPANY LLC | G0043479 |
| SIDERIUS CONSTRUCTION LLP | G0042118 |
| SIDEWALKS LLC | G0042445 |
| SIDNEY AUTO SUPPLY | G0045712 |
| SIDNEY HEALTH CENTER | G0043613 |
| SIEGMUND EXCAVATION & CONSTRUCTION INC | G0046108 |
| SIEPERT FAMILY LLC | G0043890 |
| SIERRA PAYMENTS | G0043950 |
| SIGN PRODUCTS, INC | G0038508 |
| SIGNATURE ROOFING | G0044984 |
| SIGNATURE SYNTHETICS | GE000592 |
| SIGNET RETAIL CONSTRUCTION LLC | G0044676 |
| SILICON MOUNTAIN CONTRACT SERVICES | G0045753 |
| SILVER BELL EQUESTRIAN CENTER LLC | G0046050 |
| SILVER CREEK FINANCIAL SERVICES INC | G0044940 |
| SILVER CREEK SEED LLC | GE000925 |
| SILVER LINING ACUPUNCTURE LLC | G0046390 |
| SILVER LINING HERBAL EQUINE SUPPLEMENTS | G0039880 |
| SILVER MOON BREWING INC | G0044907 |
| SILVER STAR BUILDERS LLC | G0044160 |