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 |
|---|---|
| ROSEBUD OPERATING SERVICES INC | G0045526 |
| ROSEBURG CHRISTIAN FELLOWSHIP | G0030276 |
| ROSEBURG DISPOSAL CO | G0040495 |
| ROSEBURG RADIOLOGISTS PC | G0035727 |
| ROSELL WEALTH MANAGEMENT | G0045231 |
| ROSEN AVIATION LLC | G0045698 |
| ROSEWAY PLAY CAFE LLC | GE000256 |
| ROTHERHAM CONSTRUCTION INC NFIB | G0034576 |
| ROUND HOUSE SKI & SPORT CENTER INC | G0038669 |
| ROUNDHOUSE FOUNDATION | G0041710 |
| ROUNDHOUSE LLC | G0037284 |
| ROUNDUP ATHLETIC CLUB | G0017207 |
| ROUNDUP MEMORIAL HEALTHCARE | G0043619 |
| ROWE AND ASSOCIATES INC | G0044534 |
| ROWE PLUMBING AND DRAIN LLC | G0042243 |
| ROYAL AG SERVICES | G0046136 |
| ROYAL BLUE ORGANICS | G0046464 |
| ROYAL FLUSH PLUMBING OF BEND LLC | G0045900 |
| ROYCES TIRE LLC | G0046235 |
| RR INVESTMENTS OF MT LLC | G0042343 |