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 |
|---|---|
| RIES AND ASSOCIATES PC | G0045938 |
| RIFF LLC | G0038675 |
| RIGBY PRODUCE INC | G0045681 |
| RIGHT ON BUILDERS | G0038480 |
| RIGHT SEAT MECHANICAL | GS900262 |
| RIMROCK & BLACK BUTTE VET LLC | G0041735 |
| RIMROCK HEATING & AIR CONDITIONING | G0038620 |
| RINARD MEDIA LLC | G0041374 |
| RIPDEEP MANGAT MD PC | G0040589 |
| RISEN MEDICAL LLC | G0046222 |
| RISING PHOENIX COUNSELING SERVICES LLC | G0044495 |
| RISING PHOENIX ENTERPRISES INC | G0044435 |
| RISING SUN AUTO REPAIR INC | G0046018 |
| RISING SUN CONSTRUCTION INC | G0044973 |
| RITE STUFF FOODS INC | G0044271 |
| RITTER INVESTMENTS | G0041384 |
| RIVAS ENTERPRISE LLC | G0041655 |
| RIVER BEND HOMES LLC | G0043500 |
| RIVER CITY SURGICAL CENTER | G0037688 |
| RIVER ROAD MEDICAL GROUP BCOC | G0039701 |