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 |
|---|---|
| MOUNTAINSIDE FLEET SERVICES LLC | G0045641 |
| MOUNTAINVIEW FAMILY PRACTICE | G0036826 |
| MOUNTAINVIEW VETERINARY SERVICE PC | G0035346 |
| MOUNTAINWOOD CONSTRUCTION | G0042482 |
| MPG OPERATIONS LLC | G0036310 |
| MPH VENTURES LLC | G0045792 |
| MPL AND ASSOCIATES | G0016735 |
| MRI CENTER OF IDAHO | G0019197 |
| MRP COEUR D?ALENE LLC | G0046326 |
| MST CORP | GE000220 |
| MT BACHELOR SPORTS EDUCATION FOUNDATION | G0046451 |
| MT DIRT & CONSTRUCTION | G0045082 |
| MT GIFT CORRAL-COP HORSE REST NFIB | G0034290 |
| MT HOOD ROOF RESTORATION INC | GE000933 |
| MT HOOD ROOF RESTORATION INC | G0045099 |
| MT INTEGRATIVE MEDICAL CLINIC NFIB | G0034520 |
| MT MIGRANT AND SEASONAL FARMWORKERS COUNCIL INC | G0035815 |
| MT PERIODONTICS AND DENT IMPL NFIB | G0035132 |
| MT VIEW ACUPUNCTURE LLC | G0045310 |
| MTAK CORPORATION | G0045591 |