Our new portal hosts a variety of resources to simplified administrative tasks for practitioners and providers.
A few capabilities of the new portal include:
- Eligibility verification
- Claims information
- Payment tracking
- Adjustment requests
- Prior authorizations
The site was developed with user-friendly navigation tabs that enable providers to access important information and guides such as our practitioner and provider manual. Another new feature is the messages system inside of the portal. Now instead of E-mailing your claims adjustment requests, you will submit your questions and receive responses directly from inside the portal.
If you have any questions about using the new myPRES Provider Portal, please contact your assigned Relationship Executive.
myPRES for Contracted Providers
With myPRES, providers contracted with Presbyterian Health Plan and Presbyterian Insurance Company, Inc. can check members' eligibility, benefit plan details, and claims status as well as request a Benefit Certification or Pharmacy Exception. Apply for access to myPRES
myPRES for Non-contracted Providers
Non-contracted providers who meet three of the following criteria may apply for access to myPRES. Apply for access to myPRES if you meet the criteria listed below:
- Submit a minimum of 75 claims per month to Presbyterian
- Be a Participating Provider/Practitioner with MultiPlan
- Submit $25,000.00 or more in billable services per month
- Be a Specialty Hospital/Facility or Physician (i.e.: Transplants)
Note: For security purposes, if a myPRES Security Access has not been used in over 6 months, the access will be deleted and you will have to re-apply.
Need help? Contact the myPRES eHelp Desk