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 |
|---|---|
| CENTER FOR CHIROPRACTIC & WELLNESS | G0043865 |
| CENTER FOR DIALOGUE AND RESOLUTION | G0041067 |
| CENTER FOR RESTORATIVE YOUTH JUSTICE | G0045711 |
| CENTER FOR SIGHT | G0023060 |
| CENTER FOR TRANSFORMATIVE HEALING | G0044483 |
| CENTERLINE DRILLING INC | G0045767 |
| CENTRAL CASCADE EXCAVATION COMPANY | G0045237 |
| CENTRAL CHRISTIAN SCHOOL | G0046342 |
| CENTRAL DRUG STORE INC | G0045716 |
| CENTRAL FINANCIAL SERVICES OF OREGON LLC | GE000554 |
| CENTRAL MONTANA HEART & VASCULAR INSTITUTE LLC | G0045375 |
| CENTRAL MONTANA MEDICAL CENTER | G0043706 |
| CENTRAL OREGON ACUPUNCTURE | GE000274 |
| CENTRAL OREGON ASSOCIATION OF REALTORS | G0044482 |
| CENTRAL OREGON BRAKES | G0041008 |
| CENTRAL OREGON BUILDERS ASSOCIATION | G0037829 |
| CENTRAL OREGON CHIROPRACTIC LLC | GE000726 |
| CENTRAL OREGON COLLECTIVE | G0043812 |
| CENTRAL OREGON EMERGENCY PHYSICIANS LLC | G0045863 |
| CENTRAL OREGON ENT LLC | G0045890 |