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 |
|---|---|
| REHBEIN FORD INC | G0040014 |
| REI ELECTRIC | G0040101 |
| REID SMITH ARCHITECTS PC NFIB | G0035172 |
| REJUVECARE CLINIC | G0037609 |
| RELIABLE DRYWALL LLC | G0039492 |
| RELIABLE ENTERPRISES INC | G0045956 |
| RELSON CONTRACTING | G0046297 |
| REM MARKET LLC | G0040830 |
| REMAKE TALENT | GE000964 |
| REMAKE TALENT | G0046077 |
| RENEW AESTHETICS & IV HYDRATION BAR | G0040192 |
| REPEAT PERFORMANCE SPORTS LLC | G0039801 |
| REPEAT PERFORMANCE SPORTS LLC | GE000237 |
| RESERVATION OPERATIONS CENTER LLC | G0035802 |
| RESOLUTE LAW PLLC | G0045303 |
| RESORT RESOURCES INC | G0041303 |
| RESOURCE FOR ENVIRONMENTAL AND OCCUP HEALTH | G0037068 |
| RESTORATION NORTH LLC | G0042021 |
| RESTORE RITE LLC | G0043514 |
| RESTOREAR DEVICES LLC | G0044914 |