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 |
|---|---|
| RICK HOAGLIN DMD | G0037215 |
| RICKI LEZAMIZ INC | G0041246 |
| RICKS AUTO BODY | G0044290 |
| RICKS MEDICAL SUPPLY INC | G0011188 |
| RICKS REFRIGERATION INC | G0038941 |
| RICKY BS RESTORATION LLC | G0037553 |
| RIDDLE PROPERTIES LLC | G0045500 |
| RIDE ADVENTURES | G0045136 |
| RIDE DEVELOPMENT COMPANY | GE000029 |
| RIDGE LINE DESIGN & ENGINEERING INC | G0046081 |
| RIDGEBACK USA LLC | G0042179 |
| RIDGELINE AVIATION INC | G0043434 |
| RIDGELINE MECHANICAL SALES LLC | G0042141 |
| RIES AND ASSOCIATES PC | G0045938 |
| RIFF LLC | G0038675 |
| RIGBY PRODUCE INC | G0045681 |
| RIGHT ON BUILDERS | G0038480 |
| RIGHT SEAT MECHANICAL | GS900262 |
| RIMROCK & BLACK BUTTE VET LLC | G0041735 |
| RIMROCK HEATING & AIR CONDITIONING | G0038620 |