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 |
|---|---|
| MONTANA SCHOOL SERVICES FOUNDATION | G0046216 |
| MONTANA SECURITY AND COMMUICATION | G0035399 |
| MONTANA SPINE & JOINT REHAB | G0042158 |
| MONTANA SPIRITS AND WINE NFIB | G0034390 |
| MONTANA STEEL INDUSTRIES NFIB | G0034504 |
| MONTANA SWIM ACADEMY LLC | G0046496 |
| MONTANA TECHNOLOGY ENTERPRISE CENTER | G0044839 |
| MONTANA TILE AND STONE NFIB | G0034515 |
| MONTANA UNITED INDIAN ASSOCIATION | G0044926 |
| MONTANA WILDERNESS ASSOCIATION | G0035505 |
| MONTANA WOOD TECHNOLOGIES LLC | G0045859 |
| MONTANANS FOR CHOICE | G0045958 |
| MONTE DE SION CONSTRUCTION LLC | G0046282 |
| MONTGOMERY BUILDERS | G0040226 |
| MONTGOMERY TIMBER MGT LLC | G0043664 |
| MONUMENT HOMES LLC | G0042481 |
| MOONEY WIELAND SMITH & ROSE PLLC | G0039186 |
| MOORE BARRETT INC | G0042299 |
| MOORE COCKRELL GOICOECHEA & JOHNSON PC | G0037979 |
| MOORE EXCAVATION LLC | G0045102 |