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 |
|---|---|
| RTC NW INC | G0044517 |
| RTM DIESEL REPAIR | G0042810 |
| RUAY DEE LLC | G0046034 |
| RUBICON DENTAL ASSOCIATES PLLC | G0042447 |
| RUBY MOUNTAIN MOTORS LLC | G0040032 |
| RUBY VALLEY MEDICAL CENTER | G0045725 |
| RUCHTI AND BECK LAW OFFICES LLC | G0031181 |
| RUDY STRNAD INSURANCE & FINANCIAL SERVICES LLC | G0043459 |
| RUDYS AUTOSOUND | G0035180 |
| RUG RAT FLOORING INC | G0042367 |
| RUGGED ENERGY SERVICES INC | G0039022 |
| RUMBLE INC | G0045385 |
| RUNDELL INC NWPT LOG | G0039820 |
| RUPERT CONSULTING GROUP LLC | G0045951 |
| RURAL DEVELOPMENT INITIATIVES | G0039714 |
| RURAL EMPLOYMENT OPPORTUNITIES | G0037328 |
| RURAL ORGANIZING PROJECT | G0040536 |
| RUSS PLATH LAW LLC | G0043785 |
| RUSSELL B HARRISON MD PC | G0045735 |
| RUSSELL W MAYES DO PA | G0041546 |