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 |
|---|---|
| CRYSTAL PEAKS YOUTH RANCH | G0032188 |
| CS EDGE INC | G0046189 |
| CS HOMES LLC | GE000581 |
| CS TECHS | G0040333 |
| CSS CONTRACTING INC | G0036271 |
| CTL CONSTRUCTION INC | G0045233 |
| CTR APARTMENTS LLC | G0045613 |
| CUCANCIC CONSTRUCTION INC | G0035298 |
| CUDO FINANCIAL | G0014341 |
| CULLIGAN WATER CONDITIONING | G0034120 |
| CULTIVATION LLC | G0041564 |
| CURB MASTERS MAINTENANCE LLC | G0045738 |
| 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 |