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 |
|---|---|
| MOCKEL PRECAST & EXCAVATING COMPANY | G0040129 |
| MODERN GAMES | G0046305 |
| MOHLER COOPERATIVE STORE | G0040849 |
| MOLATORE SCROGGIN PETERSON AND CO | G0017290 |
| MONARCH HEALTH LLC | G0046367 |
| MONIDA HEALTHCARE NETWORK | G0043623 |
| MONTANA ADVANCED PAIN AND SPINE PLLC | G0045651 |
| MONTANA AUDUBON | G0038494 |
| MONTANA BREWING COMPANY | G0034686 |
| MONTANA BUILDING INDUSTRY ASSOCIATION | G0037402 |
| MONTANA BURGERS INC | G0035718 |
| MONTANA BURGERS INC NFIB | G0034507 |
| MONTANA CANCER SPECIALISTS | G0035186 |
| MONTANA CIVIL CONTRACTORS INC | G0046140 |
| MONTANA COMMUNITY FOUNDATION | G0035484 |
| MONTANA CONSERVATION VOTERS | G0036256 |
| MONTANA DEMOCRATS | G0034179 |
| MONTANA DIRT WORKS LLC | G0044982 |
| MONTANA DISTRICT COUNCIL | G0041746 |
| MONTANA EDUCATORS CREDIT UNION | G0036602 |