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Medical, Pharmacy & Behavioral Health

Presbyterian provides a compilation of forms and documents frequently requested by providers. If you cannot find the material you need, please contact your Provider Network Management Relationship Executive, or log onto the myPRES provider portal to submit your inquiry.


Preventive Healthcare Guidelines

TriCore Reference Laboratories Information

Forms & Documents

Tobacco Cessation Benefits Enhanced

Presbyterian has enhanced its tobacco cessation benefits for members with full medical coverage by allowing free enrollment in the Tobacco Quit Line. (Members enrolled on prescription coverage only plans are not eligible for participation.)

Your Presbyterian members who enroll in the Tobacco Quit Line program will receive up to five telephonic counseling sessions with specially trained counselors who will guide them through the quitting process. As an incentive to enroll in and complete the program, the Tobacco Quit Line will provide a predetermined supply of nicotine replacement therapy products to members who qualify.

If you have any questions about this program, or would like to request additional information, please contact the Presbyterian Tobacco Quit Line at 1-888-840-5445.


National Drug Code (NDC) Procedure Manual

When submitting claims, Presbyterian requests that all practitioners and providers for all lines of business supply the 11-digit National Drug Code (NDC) when billing for injections and other drug items on the CMS1500 and UB04 claim forms as well as on the 837 electronic transactions. Please see the updated NDC Procedure Manual for reference.

Pharmacy Forms

Centennial Care Provider Directories

Medication Therapy Management

Behavioral Health

Behavioral Health

Care Coordination