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 |
|---|---|
| RINARD MEDIA LLC | G0041374 |
| RIPDEEP MANGAT MD PC | G0040589 |
| RISEN MEDICAL LLC | G0046222 |
| RISING PHOENIX COUNSELING SERVICES LLC | G0044495 |
| RISING PHOENIX ENTERPRISES INC | G0044435 |
| RISING SUN AUTO REPAIR INC | G0046018 |
| RISING SUN CONSTRUCTION INC | G0044973 |
| RITE STUFF FOODS INC | G0044271 |
| RITTER INVESTMENTS | G0041384 |
| RIVAS ENTERPRISE LLC | G0041655 |
| RIVER BEND HOMES LLC | G0043500 |
| RIVER CITY SURGICAL CENTER | G0037688 |
| RIVER ROAD MEDICAL GROUP BCOC | G0039701 |
| RIVER ROAD PARK AND REC DIST SDIS | G0036147 |
| RIVER ROCK FAMILY PRACTICE PC | GE000698 |
| RIVER RUN RANCH | G0045441 |
| RIVER TOWN DENTAL CORP | G0042638 |
| RIVER VIEW EYE SPECIALISTS | G0045857 |
| RIVER VIEW SURGERY CENTER | G0038847 |
| RIVER WEST CHURCH | G0044823 |