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 |
|---|---|
| RIVERBEND BUILDERS INC | G0043778 |
| RIVERBEND PHYSICAL THERAPY AND PREVENTATIVE CARE | G0044253 |
| RIVERENCE HOLDINGS LLC | G0041760 |
| RIVERFRONT PAINTING | G0043891 |
| RIVERSAGE PROPERTIES LLC | G0037585 |
| RIVERSIDE FARMS | G0044273 |
| RIVERSIDE FEEDERS LLC | G0044082 |
| RIVERSIDE FEEDERS SFL LLC | G0044080 |
| RIVERSIDE GARAGE DOORS INC | G0038647 |
| RIVERSIDE PHYSICAL THERAPY | G0018408 |
| RIVERSIDE VETERINARY CLINIC | G0046180 |
| RIVERSTONE STRUCTURAL CONCEPTS | G0032623 |
| RIVERVIEW TRUCK LINES INC | G0035646 |
| RIVERWOOD HOMES INC | G0042518 |
| RKSB LLC | G0042297 |
| RLC ENTERPRISE INC | G0045449 |
| RLM PARTS INC | G0038763 |
| RLS CONSTRUCTION INC | G0038949 |
| RMK WEST LLC | G0041934 |
| RML INC | G0037218 |