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 |
|---|---|
| RIVERWOOD HOMES INC | G0042518 |
| RKSB LLC | G0042297 |
| RLC ENTERPRISE INC | G0045449 |
| RLM PARTS INC | G0038763 |
| RLS CONSTRUCTION INC | G0038949 |
| RMK WEST LLC | G0041934 |
| RML INC | G0037218 |
| RMMB ENTERPRISES LLC | G0030271 |
| RMTC LLC | G0039927 |
| RND ARCHITECTS PLLC | G0044118 |
| ROADRUNNER COURIER INC | G0038179 |
| ROADRUNNER TOWING INC | G0014945 |
| ROARING RAPIDS PIZZA COMPANY LLC | G0010661 |
| ROATS WATER SYSTEMS INC | G0039409 |
| ROBBINS EQUIPMENT BURNS INC | G0046452 |
| ROBERT ALLAN PRATT DMD PC | G0041018 |
| ROBERT ALLEN NISSAN OF HELENA NFIB | G0034571 |
| ROBERT HOWELL LOGGING LLC | G0041799 |
| ROBERT J GEMMELL DMD PC | G0043314 |
| ROBERT J. FINCHAM JR. | G0045744 |