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 |
|---|---|
| THE SEWING PALACE BERNINA | G0038650 |
| THE SHELTER STUDIO INC | G0037845 |
| THE SIMMONS AGENCY | G0018983 |
| THE SPACE IDAHO INC | G0044887 |
| THE STATION FOUNDATION | G0040391 |
| THE STOCK FARM CLUB | G0035609 |
| THE TRUCK WORKS | GS900156 |
| THE UPHOLSTERER | G0039179 |
| THE VANDELAY GROUP INC | G0036865 |
| THE VILLAGE BAKER | G0011579 |
| THE WARMING TREND | G0041650 |
| THE WYLDE BEET LLC | G0045752 |
| THEFUC LLC | G0041416 |
| THERAPIZE ME INC | G0046240 |
| THIEL BROTHERS ROOFING | G0035174 |
| THIN AIR EXCAVATION | G0044042 |
| THINKONE NFIB | G0034610 |
| THIRD SIGNAL LLC | G0037859 |
| THIRD SIGNAL LLC | G0037859 |
| THIRD STREET FLOOR COVERINGS LLC | G0043095 |