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 |
|---|---|
| MICRO ADVENTURE LLC | G0044588 |
| MICRONICHE INC | G0033332 |
| MICRORIDGE SYSTEMS INC | G0015772 |
| MICROWORKS INC | G0023005 |
| MID COLUMBIA LUMBER PRODUCTS LLC BCOC | G0037445 |
| MID STAR FIREARMS LLC | G0044593 |
| MIDAS GOLD IDAHO INC | G0041988 |
| MIDDLE CREEK FARMS | G0046462 |
| MIDSTATE FERTILIZER COMPANY | G0043032 |
| MIDSTATE POWER SPORTS INC | G0031855 |
| MIDWAY PLUMBING INC | G0020106 |
| MIKE ARNOLD HOLDINGS LLC | G0044980 |
| MIKE H LEE DDS PC | G0045549 |
| MIKE WHITE FORD OF COEUR D ALENE | G0041572 |
| MIKES ELECTRIC INC | G0041941 |
| MIKES FENCE CENTER INC | G0044992 |
| MIKESELL SALES & SERVICE INC | G0043232 |
| MILDENBERGER MOTORS NFIB | G0034763 |
| MILDREN PLUMBING INC | G0037056 |
| MILLENKAMP CATTLE INC | G0046254 |