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 |
|---|---|
| ROMAN ROOFING AND CONSTRUCTION LLC | G0044076 |
| ROMANO LAW PC | G0039351 |
| ROMANS CABINETS LLC | G0045258 |
| ROMNEY MOTION INC | G0037900 |
| RON HALICKA EQUIPMENT | G0039814 |
| RON TERRY CONSTRUCTION INC | G0038749 |
| RONAN LIBRARY DISTRICT | G0039222 |
| ROOKER FAMILY DENTISTRY | G0045541 |
| ROOKIE INC | G0043184 |
| ROOSEVELT MEDICAL CENTER | G0043606 |
| ROOSTER FOOD SERVICES LLC | G0046315 |
| ROOT CELLAR FOODS | G0045359 |
| ROOT PROPERTIES LLC | G0017554 |
| ROOTS FOREST SCHOOL INC | G0043732 |
| ROOTS LANDSCAPE | G0044971 |
| ROOTS REHAB PLLC | G0041679 |
| ROSBORO SPRINGFIELD | G0020257 |
| ROSE & ASSOCIATES LLC | G0041148 |
| ROSE CITY PHYSICAL THERAPY ASSOCIATES | G0010358 |
| ROSEBUD HEALTH CARE CENTER | G0043609 |