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 |
|---|---|
| MT MIGRANT AND SEASONAL FARMWORKERS COUNCIL INC | G0035815 |
| MT PERIODONTICS AND DENT IMPL NFIB | G0035132 |
| MT VIEW ACUPUNCTURE LLC | G0045310 |
| MTAK CORPORATION | G0045591 |
| MTD RESTORATION LLC | G0042916 |
| MTGM INC NFIB | G0034521 |
| MTS 2 LLC | G0046381 |
| MUDSHARK STUDIOS | GE000826 |
| MULTISTATE TAX RESOURCES LLC | G0041692 |
| MUNSTERS INK TATTOO LLC | G0043690 |
| MUONIO MECHANICAL INC NFIB | G0035086 |
| MURDOCK PLUMBING LLC | G0037456 |
| MURPHY AND MILLER DENTAL | G0046032 |
| MURPHY LAW FIRM | G0038472 |
| MURRAY DRUGS INC | G0040984 |
| MURRAY ENTERPRISES LLC NFIB | G0035073 |
| MUSIC RANCH MONTANA | G0040539 |
| MV ASSOCIATES LLC | G0044353 |
| MW CIVIL LLC | GE000967 |
| MWD CONSTRUCTION | G0042839 |