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 |
|---|---|
| MOUNTAIN BUBBLES INC | G0043831 |
| MOUNTAIN BURGER BEND LLC | G0045653 |
| MOUNTAIN INTERNAL MEDICINE PLLC | G0045063 |
| MOUNTAIN PACIFIC INVESTMENT ADVISORS INC | G0039564 |
| MOUNTAIN PEAK DENTAL | G0037017 |
| MOUNTAIN PHYSICAL THERAPY AND FITNESS CENTER LLC | G0044974 |
| MOUNTAIN PHYSICAL THERAPY PC NFIB | G0034518 |
| MOUNTAIN RESORT PROPERTIES II INC | G0041428 |
| MOUNTAIN RIDGE CONSTRUCTION LLC | G0041505 |
| MOUNTAIN ROSE INC | G0042421 |
| MOUNTAIN SKY INC | G0045045 |
| MOUNTAIN STATES ENVIRONMENTAL SERVICES INC | G0037615 |
| MOUNTAIN STATES POLICY CENTER INC | G0044828 |
| MOUNTAIN SUNRISE LLC | G0045542 |
| MOUNTAIN SUPPLY CO | G0037721 |
| MOUNTAIN TOP TOWING LLC | G0044958 |
| MOUNTAIN VIEW DESIGN | GS900051 |
| MOUNTAIN VIEW FORESTRY MULCHING LLC | G0045227 |
| MOUNTAIN VIEW FORESTRY MULCHING LLC | G0044542 |
| MOUNTAIN VIEW SERVICE INC | GE000788 |