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 |
|---|---|
| CURBNTURF INC | G0043932 |
| CURRENT PHYSICAL THERAPY | G0041313 |
| CUSTOM ARCHITECTURAL WOODWORKING INC | G0042760 |
| CUSTOM AUTO OF REXBURG LLC | G0019171 |
| CUSTOM CONTOUR DENTAL LAB INC | G0037567 |
| CUSTOM DESIGN TECHNOLOGY INC NFIB | G0034224 |
| CUSTOM LABOR AND STAFFING SOLUTIONS INC | G0039285 |
| CUSTOMEDICA PHARMACY | G0046090 |
| CUTTING EDGE MECHANICAL LLC | G0045655 |
| CWG ARCHITECTS NFIB | G0034218 |
| CWL BRANDS LLC | G0044470 |
| CY1 LLC | G0039137 |
| CYBER SELF-DEFENSE LLC | G0042660 |
| CYBULSKI BROTHERS | G0034074 |
| CYNTHIA PELLEY DMD PC | G0044684 |
| CYPRESS HEALTHCARE LLC NFIB | G0034373 |
| CYX TRUCKING LLC | G0045626 |