Claims

Checking Claim Status

The easiest way to check the status of a claim is through the myPRES portal. Providers can access myPRES 24 hours a day, seven days a week. If additional assistance is needed, please contact the Provider Claims Activity Review and Evaluation (CARE) Unit

or

1 (888) 923-5757

.

Login to myPRES to Check Status

Learn more about the options available to provide quick and accurate claims processing at Presbyterian.

New Mexico Medicaid Provider Types and Taxonomy Codes Reference Guide

Electronic Payment - Presbyterian ePayment Center

Submitting Claims Electronically

Recovery of Claim Overpayments

Help Filling Out CMS 1500 and UB-04 Claim(s) Forms

The No Surprises Act: Open Negotiation Request Process

Correct Coding Medical Review Guides

Medicaid Enrollment Guidelines

Contracted Clearinghouses

Presbyterian Health Plan News & Updates

Stay in the know about program updates, training opportunities and other developments at Presbyterian that could impact your practice.

Become a Presbyterian Health Plan Contracted Provider

We are committed to efficient and effective service to make healthcare administration work for you. Let's transform healthcare together.