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 |
|---|---|
| ROBERT K POND STORAGE LLC | G0045143 |
| ROBERT M DELANEY DDS | G0042123 |
| ROBERT M JANSSEN ALC | G0045970 |
| ROBERT NAERT CONSTRUCTION INC NFIB | G0034572 |
| ROBERT P WAYMENT DDS PC | G0036734 |
| ROBERTS AND SONS FINE CABINETRY INC | G0015383 |
| ROBERTS ELECTRIC INC | G0042013 |
| ROBERTS LOGGING INC | G0038697 |
| ROBINETTE VENTURES LLC | G0046054 |
| ROBINSON & OWEN HEAVY CONSTRUCTION INC | G0044447 |
| ROBINSON RENTALS LLC | G0045547 |
| ROBIRTS AUTO CARE EXPERTS | G0045391 |
| ROBYNN BROWNE | G0046016 |
| ROCK CREEK ELECTRIC LLC | G0045055 |
| ROCK CREEK PLUMBING INC | G0038664 |
| ROCK CREEK REFRIGERATION | G0031202 |
| ROCK ENTERPRISES INC | G0046022 |
| ROCK HARD GRANITE | G0043311 |
| ROCKEN ROLL LLC | G0045321 |
| ROCKIN RUDYS INC | G0044763 |