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 |
|---|---|
| CUTTING EDGE MECHANICAL LLC | G0045655 |
| CWG ARCHITECTS NFIB | G0034218 |
| CWL BRANDS LLC | G0044470 |
| CY1 LLC | G0039137 |
| CYBER SELF-DEFENSE LLC | G0042660 |
| CYBULSKI BROTHERS | G0034074 |
| CYNTHIA PELLEY DMD PC | G0044684 |
| CYPRESS HEALTHCARE LLC NFIB | G0034373 |
| CYX TRUCKING LLC | G0045626 |
| D & A WALLACE INC | GE000606 |
| D & D GREEN TRUCKING ALC | G0045543 |
| D & M MUFFIN INC | G0036873 |
| D & R BRATTON LLC | G0042712 |
| D & R COFFEE SERVICE INC | G0042279 |
| D & S ENTERPRISES INC | G0041168 |
| D & T JOHNSON ELECTRIC | G0043124 |
| D AND L PLUMBING AND HEATING NFIB | G0034374 |
| D AND S HYDRAULICS INC | G0018190 |
| D QUINN CONSTRUCTION INC NFIB | G0034377 |
| D R GARRISON CPA PC | G0021185 |