How To Submit Claims To Presbyterian Health Plan

Coverage: New Mexico Presbyterian plans; numeric filing evidence is limited to the 2026 Presbyterian Insurance Company PPO HDHP/HSA group metal agreement.

Presbyterian Health Plan claims guidance from the reviewed sources: Electronic claims using the contracted clearinghouse guidance. Confirm the member plan and claim type before using a payer ID or paper address.

At a glance

• Presbyterian provides electronic claim submission guidance and CMS 1500/UB-04 form assistance; myPRES supports status checks.

Submission channels

• Electronic claims using the contracted clearinghouse guidance.
• CMS 1500 and UB-04 claim forms as applicable.

Electronic claims payer IDs

• Not clearly published in the researched sources.

Paper claims addresses

• Not clearly published in the researched sources.

Corrected claims and follow-up

• Not clearly published in the researched sources.

• Claims status resource 1

Caveats

• Confirm payer entity, product and destination before submission. myPRES requires access; the ePayment Center is a payment service, not a claim submission route.

Provider resources

• Official provider policy or review source (official)
• Official provider policy or review source (official)
• Official provider policy or review source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed official authorizations and claims pages and the 2026 PIC PPO HDHP/HSA agreement. Retained provider deadlines only for that identified agreement. PHP, Medicaid and Medicare contract limits still require confirmation.