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 |
|---|---|
| RASMUSSON LAW OFFICE PLLC | G0045785 |
| RATHDRUM CLINIC INC | G0040222 |
| RAVALLI COUNTY FCU | G0038353 |
| RAVALLI HEAD START INC | G0035446 |
| RAVALLI SERVICES CORPORATION | G0037841 |
| RAVALLI SERVICES CORPORATION | G0037841 |
| RAVUS INCORPORATED | G0045856 |
| RAWLINGS MANUFACTURING INC | G0035554 |
| RAYMOND C GOODMAN OD PA | G0044609 |
| RAYS CONSTRUCTION LLC | G0043979 |
| RDCSDC INC | G0040760 |
| RDD ENTERPRISES | G0045851 |
| RDL FARMS LLC | GE000450 |
| RDL NORTHWEST NWPT LOG | G0033631 |
| RDR SEEDS LLC | G0042504 |
| RE GROWTH ENTERPRISES INC | G0010078 |
| REAL LIFE MINISTRIES INC | G0044102 |
| REAL LIFE MINISTRIES SILVER VALLEY | G0031088 |
| REAL TIME RESEARCH INC | G0043098 |
| REAL TIME RESEARCH INC BCOC | G0033601 |