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 |
|---|---|
| RMMB ENTERPRISES LLC | G0030271 |
| RMTC LLC | G0039927 |
| RND ARCHITECTS PLLC | G0044118 |
| ROADRUNNER COURIER INC | G0038179 |
| ROADRUNNER TOWING INC | G0014945 |
| ROARING RAPIDS PIZZA COMPANY LLC | G0010661 |
| ROATS WATER SYSTEMS INC | G0039409 |
| ROBBINS EQUIPMENT BURNS INC | G0046452 |
| ROBERT ALLAN PRATT DMD PC | G0041018 |
| ROBERT ALLEN NISSAN OF HELENA NFIB | G0034571 |
| ROBERT HOWELL LOGGING LLC | G0041799 |
| ROBERT J GEMMELL DMD PC | G0043314 |
| ROBERT J. FINCHAM JR. | G0045744 |
| ROBERT K POND STORAGE LLC | G0045143 |
| ROBERT M DELANEY DDS | G0042123 |
| ROBERT M JANSSEN ALC | G0045970 |
| ROBERT NAERT CONSTRUCTION INC NFIB | G0034572 |
| ROBERT P WAYMENT DDS PC | G0036734 |
| ROBERTS AND SONS FINE CABINETRY INC | G0015383 |
| ROBERTS ELECTRIC INC | G0042013 |