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 |
|---|---|
| BIG BROTHERS BIG SISTERS OF FLATHEAD COUNTY | G0037472 |
| BIG DIPPER RETAIL INC | G0039843 |
| BIG HORN HOSPITAL ASSOCIATION | G0043616 |
| BIG SKY AMUSEMENT GAMES INC | G0036328 |
| BIG SKY ANIMAL CLINIC NFIB | G0035149 |
| BIG SKY BILLING & OFFICE MANAGEMENT | G0045634 |
| BIG SKY BUILD INC | G0045654 |
| BIG SKY CARE CONNECT | G0044378 |
| BIG SKY CIVIL CONSTRUCTORS INC | G0039039 |
| BIG SKY CLEANING & MGMT INC | G0041649 |
| BIG SKY DISCOVERY MONTESSORI | G0042701 |
| BIG SKY DRIVING SCHOOL | G0045676 |
| BIG SKY ELEVATOR SERVICE | G0041320 |
| BIG SKY GUYS NFIB | G0034324 |
| BIG SKY INTEGRATIVE HEALTH PC | G0045342 |
| BIG SKY LAND MANAGEMENT | G0043309 |
| BIG SKY PEDIATRIC DENTISTRY | G0045331 |
| BIG SKY PHARMACY MGMT INC NFIB | G0034325 |
| BIG SKY PRINT INC | G0045281 |
| BIG SKY PROPANE LLC | G0045918 |