PREHP

Presbyterian Health Plan

EDI 276/277
Coming Soon
AI CLAIM STATUS  →
Coming Soon
APPEALS AGENT  →
Coming Soon
ALIASES
Presbyterian (New Mexico); Presbyterian Health Plan (Commercial); Presbyterian Healthcare Services; 05003; 10646; 5242; 8908; PREHP; QYCAP; TH061; Z0003; Z0003MA; PRESBYTERIAN HEALTH PLAN (COMMERCIAL); PRESBYTERIANHP; PRESBTRIAN
AI Enhanced Claim Status
Transform acknowledgments into executable answers
Discover how legacy EDI compares to the new modern standard
EDI 276/277
Response Detail
Acknowledgment only
Data Sources
EDI Only
Payer Coverage
500 ~
Retry behavior
Silent or manual
Data Mapping
Precise configuration required
Intelligence
Static
Claim Status Agent
Response Detail
Reason + adjudication detail
Data Sources
EDI + APIs + Portals + Clearinghouses
Payer Coverage
4,000 +
Retry Behavior
Adaptive routing + learning
Data Mapping
Automatic payer normalization
Intelligence
Compounds over time
VS
Discover the difference
Book a Demo
Book a Demo
Over 4,000 Payers Available
Covers all of the payers your team bills
EDI endpoints, direct APIs, and browser-based portal agents across commercial, government and portal-only payers.
View Payers  →
View Payers  →
Substrate AI

Put your revenue cycle on Autopilot

Our agents connect to your system and run AR autonomously, from claim status and appeals to payment posting and refunds. From setup to self-driving in days. 
Book a Demo
Book a Demo
Products
Claim Status AgentAppeals AgentException PostingPatient Refunds
Features
Eligibility ChecksPayer Policy ReviewDocument Review
Covered Payers
Solutions
EHR SystemsHealthcare NetworksProvidersRCM & Billing
Customers
EHR SystemsHealthcare NetworksProvidersRCM & Billing
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