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 |
|---|---|
| THE MADRAS FREE METHODIST CHURCH | GS900201 |
| THE MAHAFFY GROUP | G0042891 |
| THE MAN STORE INC | G0037424 |
| THE MARSHALL COMPANY | G0039537 |
| THE MASONRY CENTER | G0045836 |
| THE MASTER WRENCH INC | G0018578 |
| THE MODERN FAN COMPANY INC | G0037995 |
| THE MONTANA ASSOCIATION OF HEALTH CARE PURCHASERS | G0038521 |
| THE MONTANA RADIO COMPANY LLC | GE000442 |
| THE MOUNTAIN PROJECT LLC | G0045114 |
| THE NEW ALGAE COMPANY | G0040515 |
| THE OFFICE SUPPLY COMPANY INC | G0038711 |
| THE PAN HANDLER NFIB | G0034622 |
| THE PURITANS INC | G0036611 |
| THE R F BUILDING COMPANY | G0042828 |
| THE RBH GROUP LLC | G0044372 |
| THE REYNOLDS LAW FIRM PC | G0033583 |
| THE RHINOCEROS INC | G0036725 |
| THE RIESCHEL FOUNDATION | G0040337 |
| THE ROCKS TASTING ROOM AND LIQUOR STORE | G0043759 |