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 |
|---|---|
| MISSOULA INTERNATIONAL SCHOOL | G0037095 |
| MISSOULA MANOR HOMES | G0037046 |
| MISSOULA ORAL SURGERY PLLC | G0036309 |
| MISSOULA ORGANIZATION OF REALTORS | G0037348 |
| MISSOULA PHARMACY | G0036277 |
| MISSOULA SURGICAL SERVICES PLLC | G0043330 |
| MISSOULA VALLEY CONCRETE PUMPING INC | G0041632 |
| MISSOURI RIVER CONTRACTORS LLC | G0041943 |
| MITCH HANAN STATE FARM INSURANCE AGENT | G0043978 |
| MITCHELL DENTAL PC | G0037629 |
| MJ BAKER INC | G0033766 |
| MJ BAKER INC | G0033775 |
| MK WEEDEN CONSTRUCTION INC | G0045600 |
| MKB LAW LLC | G0041798 |
| MKM CONSTRUCTION INC | G0038443 |
| MLA SERVICES INC | G0038385 |
| MLJ LLC | G0045781 |
| MMMEDICAL GROUP LLC | G0045861 |
| MOA RIFLES LLC | G0044687 |
| MOAB MEDIA LLC | G0040002 |