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 |
|---|---|
| CITY OF PLUMMER | G0044033 |
| CITY OF POCATELLO | G0045585 |
| CITY OF REDMOND | G0020715 |
| CITY OF ROSEBURG | G0021691 |
| CITY OF SPRINGFIELD ACTIVE | G0020720 |
| CITY OF THE DALLES | G0018627 |
| CITY OF WENDELL | G0042022 |
| CITY PLYWOOD CENTER INC | G0044545 |
| CITY ROASTING COMPANY LLC | G0045068 |
| CIVC | G0046236 |
| CIVIL LIBERTIES DEFENSE CENTER | G0043296 |
| CJ HOSMAN LLC | G0042464 |
| CJ MARTIN CONSTRUCTION LLC | GE000385 |
| CJ3 INC | G0042598 |
| CKG3 INC | G0039152 |
| CLACKAMAS AND OREGON PEDIATRICS | G0042656 |
| CLANCY ELEMENTARY SCHOOL DISTRICT 1 | G0035459 |
| CLANCY GLENN PROFESSIONAL HORSE SHOEING | G0046360 |
| CLANCY GLENN PROFESSIONAL HORSE SHOEING | G0046321 |
| CLANDESTINO HOSPITALITY LLC | G0044569 |