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 |
|---|---|
| WILD CARROT HERBALS | G0044248 |
| WILD CRUMB | GE000186 |
| WILD CRUMB LLC | G0038432 |
| WILD DIVERSITY | GE000766 |
| WILD EAGLE MOUNTAIN CATTLE RANCH | G0041999 |
| WILD OAK TRADING | G0044891 |
| WILD RIDE BREWING LLC | G0041211 |
| WILD ROOTS THERAPY INC | G0043249 |
| WILD WEST SEED INC | G0010831 |
| WILDCAT FIREARMS LLC | G0041909 |
| WILDER CONSTRUCTION LLC NFIB | G0034215 |
| WILDFIRE DEFENSE SYSTEM NFIB | G0034658 |
| WILDFIRE WATER MANAGEMENT LLC | G0046102 |
| WILDISH LAND CO | G0020154 |
| WILDLAND FIREFIGHTER FOUNDATION | G0032778 |
| WILDWOODS LOG CONSTRUCTION | G0038692 |
| WILEY DOBBS CONSULTING | G0042476 |
| WILKINSON CONSTRUCTION LLC | G0041502 |
| WILLAMALANE PARK AND REC DISTRICT | G0020128 |
| WILLAMETTE FAMILY MEDICAL CENTER | G0042824 |