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 |
|---|---|
| CLARE D GOVE CPA PC | G0021177 |
| CLARITY ENTERPRISES INC | G0046389 |
| CLARK M DRAPER CONSTRUCTION INC | G0044581 |
| CLASSIC INK COMPANY | G0038637 |
| CLAWSON FARMS | G0022854 |
| CLE RESIDENTIAL | G0044614 |
| CLEAN ONES CORPORATION | G0032289 |
| CLEANLINE SURF COMPANY | G0012846 |
| CLEAR ONE PORTABILITY | N0010008 |
| CLEARVIEW AG INC | G0036259 |
| CLEARVIEW BUILDERS INC | G0045779 |
| CLEARVIEW DISABILITY RESOURCE CENTER | G0045132 |
| CLELAND WOOLWORTH CAPITAL GROUP LLC | G0033630 |
| CLENERA LLC | G0044244 |
| CLEVER BRAHMA SOLUTIONS INC | G0039261 |
| CLIFF CREEK LLC | GE000751 |
| CLIFFS AUTOMOTIVE SERVICE CTR NFIB | G0034265 |
| CLIMATE RIDE INC | G0037603 |
| CLINE PRODUCTION COMPANY | G0037448 |
| CM QUALITY INSULATION INC | G0044318 |