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 |
|---|---|
| MADISON VALLEY MEDICAL CENTER | G0045745 |
| MADISON VALLEY PARTNERS LLC | G0044423 |
| MADRAS AQUATIC CENTER SPECIAL DISTRICT | G0044320 |
| MADRAS ASSEMBLY OF GOD | G0042374 |
| MADRAS PAINT & GLASS INC | G0045425 |
| MADRAS PHYSICAL THERAPY GROUP INC | G0042588 |
| MAGDRIVE TECHNOLOGIES INC | G0044668 |
| MAGELA INC | G0013633 |
| MAGIC PLUMBING | G0043918 |
| MAGIC VALLEY DAIRY SYSTEMS LLC | G0040061 |
| MAGIC VALLEY GROWERS LTD | G0031190 |
| MAGIC VALLEY MALL LLC | G0041867 |
| MAGIC VALLEY PAYNE ALLSTATE | G0041952 |
| MAGIC VALLEY UROLOGY | G0042379 |
| MAHALO HEATING AND AIR CONDITIONING LLC | G0035763 |
| MAIER ROOFING CO INC | G0033687 |
| MAIN HARBOR PUMPS & WELL DRILLING INC | G0036723 |
| MAJESTIC BUS SERVICE INC | G0043912 |
| MAJESTIC WORKS CONTRACTING AND ELECTRICAL LLC | GE000233 |
| MAJESTIC WORKS CONTRACTING AND ELECTRICAL LLC | G0036520 |