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 |
|---|---|
| CM TREE SERVICE AND REMOVAL LLC | G0045343 |
| CMX ENTERPRISES INC | GE000201 |
| CNS PRODUCTIONS INC | G0018320 |
| COACHWELL | G0046352 |
| COALITION OF GRADUATE EMPLOYEES | G0041065 |
| COAST HARDWARE | G0018140 |
| COAST METAL WORKS INC | G0044446 |
| COAST TO CASCADE LOGGING LLC | G0045222 |
| COAST TO COAST EVENT SERVICES INC | G0014713 |
| COBALT PROPERTY MANAGEMENT GROUP | G0038091 |
| COBURN CONCRETE CONSTRUCTION INC | G0041026 |
| CODYS APPLIANCE REPAIR | GE000506 |
| CODYS CATERING | G0043395 |
| COEUR D ALENE DENTAL CENTER PLLC | G0044813 |
| COEUR D ALENE SERVICE STATION | G0040887 |
| COFFMAN VISION CLINIC | G0046267 |
| COFFMANS PEAK ELECTRIC LLC | G0038685 |
| COGHLAN FINANCIAL LLC | G0041064 |
| COINER AND WOOTEN LLC | G0038927 |
| COLDWATER ENGINEERING PC | G0037038 |