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 |
|---|---|
| RAM JACK WEST | G0014511 |
| RAMCO LOGGING INC NWPT LOG | G0021095 |
| RANCH RESOURCES LLC | G0036481 |
| RANDOM INVESTMENTS LLC | G0042929 |
| RANDY ADAMS CUSTOM FARMING INC | G0043564 |
| RANDY GILLETTE FARMS INC | G0040310 |
| RANDY HANSEN AUTOMOTIVE | G0041843 |
| RANDY LARSEN | G0041241 |
| RANGE CHIROPRACTIC LLC | G0045408 |
| RANGE PHYSICAL THERAPY & WELLNESS | G0045870 |
| RANGE RIDER LLC | GE000640 |
| RANGER PLUMBING & HEATING INC | G0043764 |
| RANGITSCH BROTHERS LLC | G0035445 |
| RAPELJE GRAIN COMPANY | G0044058 |
| RAPID CLEAN | G0042833 |
| RAPID TAC INC | G0018540 |
| RAPID WRENCH INC | GS900253 |
| RAPTOR VIEW RESEARCH INSTITUTE | G0036924 |
| RARDIN ENTERPRISES LLC | G0038771 |
| RASMUSSEN FOODS INC | G0040835 |