Pres Online for Presbyterian Health Plan Providers

Sign up for Access to Pres Online for Providers

Presbyterian Health Plan's new free Pres Online Service gives you access to updated information about claims, benefit certifications, eligibility, deductibles, and more!

* These fields are required.

Request is for*:	Self Self and Others Others
Person submitting request
First name*:
Last name*:


Position title*:
E-mail*:
Phone*:
Office/Practice Manager
First name*:
Last name*:
Provider Information
Are you contracted with Presbyterian?*:	Yes No (By selecting No, I agree that I have read and that I meet the following criteria)
Non-Contracted Providers must meet all three of the following criteria to apply for and receive access to PresOnline: Submit a minimum of 75 claims per month to Presbyterian Be a Participating Provider with MultiPlan Submit $25,000 or more in billable services per month Be a Specialty Hospital/Facility or Physician (ie: Transplants)
Type of account*:	Individual Group Facility
Provider / Institution Name*:
Tax ID Number*:
National Provider Identifier Number (NPI)*:
A separate login for each Tax ID will be required.

Additional users

Please enter the following information for ALL additional staff members who are requesting a Pres Online user account:

First Name:

Last Name:

Email:

First Name:

Last Name:

Email:

First Name:

Last Name:

Email:

First Name:

Last Name:

Email:

First Name:

Last Name:

Email:

If you have additional users, please submit another form with that information.

Please add any other comments or instructions here:

I have read and accepted the Terms and Conditions for Utilization of Pres Online (required field)

Thank you for signing up for Pres Online.

Pres Online for Presbyterian Health Plan Providers

Sign up for Access to Pres Online for Providers

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