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 |
|---|---|
| COUNTERPOINT INC | G0041558 |
| COUNTRY COUNTER CORP | G0040859 |
| COUNTRY MEDIA INC | G0037522 |
| COUNTRY SIDE LIVING OF REDMOND | G0045096 |
| COUNTY OF CANYON SCHOOL DISTRICT CLASS B 136J | G0037411 |
| COURTNEY INC | G0040894 |
| COVE ELECTRIC INC | G0046162 |
| COVENANT CORPORATE MANAGEMENT | G0043182 |
| COVINGTON CORPORATION | G0041314 |
| COWAN BROADCASTING LLC | G0036318 |
| COWBOYS INC | G0037364 |
| COX CUSTOM WELDING LLC | G0039124 |
| COYOTE STEEL AND CO | G0015321 |
| COZAKOS & CENTENO PLLC | G0042209 |
| CPC INC | G0041285 |
| CR COMBUSTION INC | G0039142 |
| CR RANCHES LLC | G0032037 |
| CR RANCHES LLC | G0044373 |
| CRADAR ENTERPRISES | G0040714 |
| CRAFTMASTER CABINETS INC | G0044720 |