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 |
|---|---|
| M & W MACHINE | G0038103 |
| M AND D LOGGING INC | G0031556 |
| M AND W MACHINE INC | G0034682 |
| M AND W REPAIR NFIB | G0034495 |
| M BELZA CONSULTING LLC | G0040692 |
| M BROWN CONSTRUCTION LLC | G0044477 |
| M DABNEY CO | G0042693 |
| M J GOSS MOTOR COMPANY | G0045817 |
| M&C TIRE INC | GE000389 |
| MAANSI FAMILY HEALTH CENTER | GE000975 |
| MAC & CHEESE DESIGN LLC | G0040081 |
| MAC TRADES INC | G0043385 |
| MACH THERAPY LLC | G0046385 |
| MACSQUARED LLC | G0046048 |
| MACULA SYSTEMS LLC | G0042775 |
| MADDIES LLC | G0044855 |
| MADDOX HAY CO | G0046024 |
| MADISON ANESTHESIA SERVICES | G0023334 |
| MADISON CREEK FURNISHINGS LLC | G0046237 |
| MADISON DOUBLE R LLC | G0045671 |