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 |
|---|---|
| CANYON RIVER SPA INC | G0039155 |
| CANYON SPRINGS CHRISTIAN CHURCH | GE000750 |
| CANYON VIEW DENTAL | G0036327 |
| CAP FOOD SERVICES CO WGT | G0040761 |
| CAP PAVING INC NFIB | G0034767 |
| CAPECO | G0018330 |
| CAPELLS CORPORATION | G0037908 |
| CAPITAL CITY DENTISTRY | G0039991 |
| CAPITAL CITY DRILLING INC | G0046057 |
| CAPITAL COMMUNICATIONS | G0034003 |
| CAPITAL FINANCIAL GROUP LLC | G0046330 |
| CAPITOL CITY DOOR INC | G0045925 |
| 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 |