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 |
|---|---|
| EYEHEAR INC | G0043355 |
| EZO FUJI CORPORATION | G0045768 |
| EZZIES WHOLESALE INC | G0045728 |
| FAILURE IS NOT AN OPTION LLC | GE000873 |
| FAIRVIEW VETERINARY CENTER LLC | GE000896 |
| FAIRWEATHER IT LLC | G0045917 |
| FAITH BAPTIST CHURCH | G0046135 |
| FAITH BAPTIST CHURCH OF HARNEY COUNTY | G0040874 |
| FALER AND ASSOCIATES PC OSCPA | G0021231 |
| FALL CREEK INTERNAL MEDICINE | G0046447 |
| FALL CREEK LOGGING INC | G0017408 |
| FALL CREEK PAIN MANAGEMENT EUGENE | G0046273 |
| FALL CREEK SKIN AND HEALTH PLLC | G0043543 |
| FALLING WATERS LLC | G0044496 |
| FALLING WATERS LLC | G0030126 |
| FALLS MOTEL NFIB | G0034621 |
| FALLS PLUMBING INC | G0040789 |
| FAME INC | G0045595 |
| FAMILIES IN PARTNERSHIP INC | G0039088 |
| FAMILY DENTAL HEALTH LLC | G0016196 |