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 |
|---|---|
| MISSISSIPPI HEALTH CENTER | GE000838 |
| MISSOULA ALLIANCE CHURCH | G0036425 |
| MISSOULA ANESTHESIOLOGY PC | G0039629 |
| MISSOULA AREA YOUTH HOCKEY ASSOCIATION | G0037805 |
| MISSOULA BICYCLE WORKS | G0035068 |
| MISSOULA BROADCASTING COMPANY LLC | G0036353 |
| MISSOULA CHAMBER OF COMMERCE | G0040314 |
| MISSOULA COMMUNITY ACCESS TELEVISION | G0037423 |
| MISSOULA COMPOST | G0044862 |
| MISSOULA CONVENTION AND VISITORS BUREAU | G0038386 |
| MISSOULA COUNTRY CLUB | G0040885 |
| MISSOULA CULTURAL COUNCIL | G0035022 |
| MISSOULA DEVELOPMENTAL SERVICE CORP | G0035641 |
| MISSOULA ELECTRIC COOPERATIVE INC | G0036278 |
| MISSOULA FAMILY MEDICINE PLLC | G0040643 |
| MISSOULA FAMILY YMCA | G0036364 |
| MISSOULA FOOD BANK & COMMUNITY CENTER INC | G0045216 |
| MISSOULA FRESH MARKET | G0040780 |
| MISSOULA GLASS LLC | G0045865 |
| MISSOULA HOUSING AUTHORITY | G0035604 |