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 |
|---|---|
| COLE COMMUNITY CHURCH | G0041368 |
| COLE MACHINE AND MFG CO | G0016060 |
| COLE VALLEY CHRISTIAN SCHOOLS | G0043773 |
| COLEJENN INC DBA CENTRATEL LLC | G0017287 |
| COLLECTION BUREAU SERVICES | G0035313 |
| COLLINS & SONS INC | G0039223 |
| COLLISION CRAFT INC | G0036722 |
| COLLISION CRAFT NFIB | G0034361 |
| COLLISION PRO INC NFIB | G0034760 |
| COLMAN COMMUNITY SERVICES | G0044927 |
| COLOR CRAFT INC | GE000441 |
| COLOR GLO OF MAGIC VALLEY INC | G0040597 |
| COLSTRIP MEDICAL CENTER | G0043631 |
| COLUMBIA DENTAL CLINIC | GE000947 |
| COLUMBIA FALLS ALUMINUM COMPANY LLC | G0035780 |
| COLUMBIA GORGE CHILDRENS ADVOCACY CENTER | G0039256 |
| COLUMBIA HARVEST FOODS LLC | G0040839 |
| COLUMBIA MARINE & RAIL LLC | G0042559 |
| COLUMBIA MEDICAL ALARM INC | G0038396 |
| COLUMBIA PACIFIC FINANCE | G0037339 |