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 |
|---|---|
| RIVER ROAD PARK AND REC DIST SDIS | G0036147 |
| RIVER ROCK FAMILY PRACTICE PC | GE000698 |
| RIVER RUN RANCH | G0045441 |
| RIVER TOWN DENTAL CORP | G0042638 |
| RIVER VIEW EYE SPECIALISTS | G0045857 |
| RIVER VIEW SURGERY CENTER | G0038847 |
| RIVER WEST CHURCH | G0044823 |
| RIVERBEND BUILDERS INC | G0043778 |
| RIVERBEND PHYSICAL THERAPY AND PREVENTATIVE CARE | G0044253 |
| RIVERENCE HOLDINGS LLC | G0041760 |
| RIVERFRONT PAINTING | G0043891 |
| RIVERSAGE PROPERTIES LLC | G0037585 |
| RIVERSIDE FARMS | G0044273 |
| RIVERSIDE FEEDERS LLC | G0044082 |
| RIVERSIDE FEEDERS SFL LLC | G0044080 |
| RIVERSIDE GARAGE DOORS INC | G0038647 |
| RIVERSIDE PHYSICAL THERAPY | G0018408 |
| RIVERSIDE VETERINARY CLINIC | G0046180 |
| RIVERSTONE STRUCTURAL CONCEPTS | G0032623 |
| RIVERVIEW TRUCK LINES INC | G0035646 |