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 |
|---|---|
| CAPITOL CITY TRANSMISSIONS INC | G0041688 |
| CAPITOL TRANSPORTATION LLC | G0041583 |
| CAPITOL YOUTH SPORTS ASSOCIATION | G0045006 |
| CAPRON FAMILY DENTAL PC | G0043560 |
| CAPTAINS MARINE INC | G0038555 |
| CAR STICKERS INC | G0044168 |
| CARDAS AUDIO LTD | G0044433 |
| CARDINAL OTUNGA HOUSE | GE000381 |
| CARE PARTNERS | G0046335 |
| CAREY LAW FIRM PC | G0035043 |
| CARIBOU CONSTRUCTION INC | G0042611 |
| CARL THORNBLADE MD PLLC | G0036817 |
| CARLS AUTO REPAIR | G0022676 |
| CARR LAW FIRM PC | G0036907 |
| CARRIE QUINN DBA NAILS BY CARRIE | GS900190 |
| CARROLLS ELECTRIC INC | G0040118 |
| CARTERS COBBLER SHOPPE INC | G0046151 |
| CARTERS MANUFACTURING INC | G0042103 |
| CARTRIDGE WORLD BEND | GS900000 |
| CASA GAL OF GALLATIN COUNTY INC | G0044916 |