Providers

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

Contracted Clearinghouses

Presbyterian and its behavioral health partner, Magellan, contract with several external Electronic Data Interchange (EDI) clearinghouses. These clearinghouses act as a third party between providers and Presbyterian and/or Magellan for processing claims.

Contact our contracted clearinghouses to see which one is the best fit for your practice management system. For more information, view the “Behavioral Health,” e-Business” and “Claims and Payment” chapters of the Presbyterian Provider Manuals.

Availity ClaimMD Change Healthcare FinThrive Office Ally*RelayHealth*Trizetto Provider Solutions*Veradigm/AllScripts*

*Indicates behavioral health only.

Presbyterian Health Plan News & Updates

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

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