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 |
|---|---|
| MARKS-MILLER POST AND POLE INC NFIB | G0034500 |
| MARLENE DESIGN CO LLC | G0044239 |
| MARQUESS & ASSOCIATES INC | G0039771 |
| MARSAND INC | GE000423 |
| MARSAND INC | GE000282 |
| MARSHALL INSURANCE | G0017690 |
| MART FRESH PACK LLC | G0039568 |
| MARTENSEN HOLDINGS II LLC | G0043412 |
| MARVS GLASS SHOP INC | G0046200 |
| MARY J SYKES CPA PC | G0040933 |
| MARYS HEALTH FOODS INC NFIB | G0035079 |
| MASSA HOME CENTER | G0039975 |
| MASSIE ELECTRIC NFIB | G0035091 |
| MAST & CO BUILDERS | G0038354 |
| MAST DENTISTRY | G0045788 |
| MASTER CAPITAL MANAGEMENT | G0015441 |
| MASTER TECHNICIAN INC | G0037045 |
| MASTERCARE CLEANING CO | GE000962 |
| MASTERCRAFT CERAMICS DENTAL LABORATORY | G0013961 |
| MASTERS OF DENTISTRY | GE000791 |