Tools & Resources
Presbyterian Health Plan offers a variety of provider tools and resources to help you work more efficiently and effectively with us and reduce the amount of time required for your administrative tasks.
The myPRES provider portal is designed to give you a customized and integrated platform to communicate with us and deliver responses in a timely manner.
Medical Policy Manual
Developed by the Medical Policy Committee of Presbyterian Health Plan, Inc. and Presbyterian Insurance Company, Inc., the Medical Policy Manual contains policies that serve as guidelines to assist in administering plan benefits.
Appeals & Grievance
We have comprehensive processes for submitting appeals and grievance and we welcome all feedback to ensure that the voices of our members and providers are heard. Providers can submit an appeal or grievance on behalf of themselves or on behalf of a member.
Reference & Guides
You can access the most current versions of the preventive healthcare guidelines, medical record standards, tobacco cessation information, guide to coordinating interpreter services and more.
Training & Education
Presbyterian offers many opportunities for training and education. Here you can learn more about continuing medical education, annual provider conferences, medical rotations and much more.
Hospital Resources offers a range of information that may be helpful in your efforts to achieve and maintain, hospital quality, patient safety and efficiency of care.