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 |
|---|---|
| CLEAR ONE PORTABILITY | N0010008 |
| CLEARVIEW AG INC | G0036259 |
| CLEARVIEW BUILDERS INC | G0045779 |
| CLEARVIEW DISABILITY RESOURCE CENTER | G0045132 |
| CLELAND WOOLWORTH CAPITAL GROUP LLC | G0033630 |
| CLENERA LLC | G0044244 |
| CLEVER BRAHMA SOLUTIONS INC | G0039261 |
| CLIFF CREEK LLC | GE000751 |
| CLIFFS AUTOMOTIVE SERVICE CTR NFIB | G0034265 |
| CLIMATE RIDE INC | G0037603 |
| CLINE PRODUCTION COMPANY | G0037448 |
| CM QUALITY INSULATION INC | G0044318 |
| CM TREE SERVICE AND REMOVAL LLC | G0045343 |
| CMX ENTERPRISES INC | GE000201 |
| CNS PRODUCTIONS INC | G0018320 |
| COACHWELL | G0046352 |
| COALITION OF GRADUATE EMPLOYEES | G0041065 |
| COAST HARDWARE | G0018140 |
| COAST METAL WORKS INC | G0044446 |
| COAST TO CASCADE LOGGING LLC | G0045222 |