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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 (505) 923-5757 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.

​The New Mexico Health Care Authority (HCA) will launch Turquoise Claims, a single-point-of-entry process for Medicaid claims, on March 23, 2026. Providers will need to ensure they make changes to their Medicaid claims submission processes to avoid claim delays or denials.

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The New Mexico Health Care Authority (HCA) has prepared the following resources and reference guides to assist providers with navigating provider rates, formularies and taxonomy codes.

New Mexico Medicaid Provider Types and Taxonomy Codes Reference Guide

Providers who have multiple provider types associated with their National Provider Identifier (NPI) number are required to submit claims using the correct taxonomy code that corresponds with the specific provider type for the services that they are billing. Providers may use this reference guide to view the taxonomy codes that the HCA assigned to each provider type.

New Mexico Medicaid Provider Types and Taxonomy Codes Reference Guide

Rate and Formulary Reference Files

HCA reference guides that validate Place of Service (POS), procedure and revenue codes based on claim types.

New Mexico Medicaid Provider Place of Service by Procedure Code

New Mexico Medicaid Procedure Claim Types and Provider Types Allowed

New Mexico Medicaid Procedure Code Formulary

New Mexico Medicaid Revenue Code Formulary

New Mexico Medicaid Revenue Code with Type of Bill

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