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 |
|---|---|
| REVITALIZE CONSTRUCTION & RESTORATION | G0045371 |
| REVIVAL GOLD IDAHO INC | G0042689 |
| REVOLVER MENSWEAR LLC | G0045959 |
| REVOLVER MENSWEAR LLC | GE000409 |
| REXROAT HARBERD & ASSOC PA | G0040634 |
| REXS UPHOLSTERY OF BOZEMAN INC | G0042935 |
| REYES ENGINEERING INC | G0044997 |
| REYNOLDS ELECTRIC & PLUMBING | G0044162 |
| REYNOLDS NW LLC | G0043487 |
| REYNOLDS NW LLC | G0041053 |
| RHINE AND TANZER INC | G0040136 |
| RHOADES INTELLECTUAL PROPERTY LAW PLLC | G0040272 |
| RHOADES SIEFERT & ERICKSON PLLC | G0039174 |
| RHODES CHIROPRACTIC | G0046356 |
| RHYTHM AND BLOOMS INC | G0011120 |
| RICHARD J WORST PC | G0042150 |
| RICHARDSON ADAMS PLLC | G0042637 |
| RICHARDSON SPORTS | G0032180 |
| RICK BASHAW TRUCKING | G0045358 |
| RICK E SAGER CPA PLLC | G0044213 |