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 |
|---|---|
| COLUMBIA RIVER MARITIME MUSEUM | G0044462 |
| COLUMBIA RUBBER MILLS | G0044510 |
| COMBINED COMMUNICATIONS INC | G0045149 |
| COMFORT VILLAGE LLC | G0044339 |
| COMMERCIAL MACHINE SERVICES INC | G0037241 |
| COMMERCIAL ROOFING INC | G0035386 |
| COMMERCIAL SATELLITE SOLUTIONS | GS900217 |
| COMMERCIAL TV AND APPLIANCE | G0045122 |
| COMMTEK LLC | G0039129 |
| COMMUNICATION AND MANAGEMENT SERVICES LLC | G0039939 |
| COMMUNICATION RESOURCES LLC | G0044476 |
| COMMUNICATIONS TECHNOLOGY INC | G0037143 |
| COMMUNITY BUILDING SUPPLY INC | G0045241 |
| COMMUNITY CANCER FOUNDATION | G0045748 |
| COMMUNITY IN ACTION | G0046292 |
| COMMUNITY OUTREACH THROUGH RADICAL EMPOWERMENT | G0044975 |
| COMMUNITY SUPERVISION ALTERNATIVES | G0035479 |
| COMMUTE OPTIONS | GE000972 |
| COMMUTE OPTIONS | G0046259 |
| COMPANION ANIMAL CLINIC | G0045877 |