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Tools & Resources

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.

Provider Portals

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.

More information about Provider Portals

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.

View the Medical Policy Manual

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.

Learn more about the Appeals & Grievance process

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.

View all References & Guides

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.

Learn more about Training & Education opportunities

Hospital Resources

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.

Learn more about our Hospital Resources

Presbyterian Health Plan News & Updates

Find out about the newest staff and the latest technology, and all the other happenings at Presbyterian.

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.