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 |
|---|---|
| ROCKY MOUNTAIN HEATING & COOLING INC | G0039255 |
| ROCKY MOUNTAIN INSURANCE GROUP LLC | G0037807 |
| ROCKY MOUNTAIN MEDICAL SUPPLY INC | G0046106 |
| ROCKY MOUNTAIN PORTABLE TOILETS LLC | G0040162 |
| ROCKY MOUNTAIN REAL ESTATE CORP | G0040093 |
| ROCKY MOUNTAIN TILE AND STONE | G0034240 |
| ROD CLARKE TRUCKING LLC | G0043099 |
| ROD WIGLE MD LLC | G0039303 |
| RODE PHYSICAL THERAPY LLC | G0042736 |
| RODGERS CENTER FOR PLASTIC SURGERY | G0043573 |
| RODNEY H HILLAM DDS PA | G0046431 |
| ROFF FARMS | G0045844 |
| ROGER DANIEL INSURANCE NFIB | G0034289 |
| ROGIN LLC | G0042933 |
| ROGUE RIVER DENTURE | G0039339 |
| ROJAS GREENBERG INC | G0045564 |
| ROLLER CONSTRUCTION INC | G0038812 |
| ROLLING ROCK DAIRY FARMS INC | G0041127 |
| ROLO LLC | G0046252 |
| ROLOFF CONSTRUCTION INC | G0039357 |