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 |
|---|---|
| MAIN HARBOR PUMPS & WELL DRILLING INC | G0036723 |
| MAJESTIC BUS SERVICE INC | G0043912 |
| MAJESTIC WORKS CONTRACTING AND ELECTRICAL LLC | GE000233 |
| MAJESTIC WORKS CONTRACTING AND ELECTRICAL LLC | G0036520 |
| MAKENA CUSTOM HOMES INC | G0043279 |
| MALDONADO LAW PLLC | G0046327 |
| MALESICH RANCH | G0035549 |
| MALEY RANCH | G0045982 |
| MALHEUR COUNTY SWCD | G0044886 |
| MALHEUR MEMORIAL HEALTH DISTRICT | G0033398 |
| MALIBU PACIFIC GENERAL CONTRS INC | G0011537 |
| MALONEY CONSTRUCTION LLC | G0040071 |
| MALPASS HERITAGE FARMS LLC | G0044165 |
| MAMMOTH HOLDINGS CORP | G0041259 |
| MANAGEMENT RECRUITERS OF BOISE INC | G0039741 |
| MANGO SAFARIS LLC | G0030890 |
| MANHATTAN BANK | G0037947 |
| MANIFEST DIGITAL SOLUTIONS LLC | G0046110 |
| MAPLE STREET SIT N SLEEP INC | G0045334 |
| MAPMATIX LLC | G0045931 |