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 |
|---|---|
| RUSSO LEE GALLERY INC | G0039623 |
| RUSTIC BARBIE LLC | G0039941 |
| RUSTIC RIDGE LANDSCAPE & IRRIGATION | G0042029 |
| RUTHERFORD MACDONALD AND OLSON INC | G0035375 |
| RW BELLMAN GROUP INC | G0040718 |
| RYAN HARBERT COUNTRY FINANCIAL INC | G0044844 |
| RYAN MILLET DDS | GE000895 |
| RYKEL ELECTRIC LLC | G0042765 |
| RZ CONSTRUCTION INC | G0037007 |
| S & K VENTURES INC | G0041961 |
| S AND K ELECTRONICS | G0035370 |
| S AND L DELIVERIES CORP | G0035357 |
| S AND P FINANCIAL INC BCOC | G0033713 |
| S JOHN STALEY DDS PA | G0042846 |
| S ROSE INVESTMENTS LLC | GE000890 |
| S&B FIRE PROTECTION INC | G0043789 |
| S3 HOLDINGS LLC | G0039171 |
| SACRED ART OF LIVING CENTER | G0041615 |
| SACRED BRANDS LLC | G0046375 |
| SADDLEBACK SHUTTERS & BLINDS LLC | G0041163 |