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 |
|---|---|
| MATE REVOLUTION INC | GE000577 |
| MATHENEY TRUCKING LLC | G0044020 |
| MATHEW PAVLOVICH DDS LLC | G0042376 |
| MATRIX CONSTRUCTION LLC | G0041267 |
| MATTHEW D EPPERSON DMD MSD LLC | G0046060 |
| MATTHEW D LONGTIN LLC | G0039637 |
| MATTHEW LEE CONSTRUCTION INC | G0041866 |
| MATTON UTILITY INC | G0038806 |
| MAUDE KERNS ART CENTER | G0044260 |
| MAULS HIGHLAKES SPAS LLC | G0041371 |
| MAURER CONSTRUCTION LLC | G0037108 |
| MAVERICK CAR COMPANY LLC | G0042033 |
| MAVERICK LEATHER COMPANY | G0045795 |
| MAVERICK REAL ESTATE HOLDINGS LLC | G0045400 |
| MAVERIK LAND & CATTLE COMPANY | G0043461 |
| MAY RAMMEL AND WELLS CHTD | G0041165 |
| MAYBELLE CLARK MACDONALD FUND | G0046284 |
| MAZAMA DATAWORKS INC | G0031650 |
| MC POWERCLEAN LLC | G0046161 |
| MCA LLC | G0040237 |