Coverage profile
How Substrate can help you with Presbyterian Health Plan (Commercial)
Substrate can help practices and billers with the following claims tasks for Presbyterian Health Plan (Commercial).
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Presbyterian Health Plan (Commercial).
Frequently asked questions
Presbyterian Health Plan (Commercial) payer FAQs
What is the payer ID for Presbyterian Health Plan (Commercial)?
The primary payer ID for Presbyterian Health Plan (Commercial) is PREHP. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Presbyterian Health Plan (Commercial)?
The 837P and 837I payer ID for Presbyterian Health Plan (Commercial) is PREHP via Stedi.
What is the 835 payer ID for Presbyterian Health Plan (Commercial)?
The 835 payer ID for Presbyterian Health Plan (Commercial) is PREHP via Stedi.
What is the 270 payer ID for Presbyterian Health Plan (Commercial)?
The 270 payer ID for Presbyterian Health Plan (Commercial) is PREHP via Stedi.
What state does Presbyterian Health Plan (Commercial) operate in?
Presbyterian Health Plan (Commercial) operates in NM.
Routing reference
Presbyterian Health Plan (Commercial) payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Presbyterian Health Plan (Commercial) |
|---|---|
| Operating states | NM |
| 837P professional claims payer IDStedi | PREHP |
| 837I institutional claims payer IDStedi | PREHP |
| 835 ERA payer IDStedi | PREHPEnrollment required |
| 270 eligibility payer IDStedi | PREHP |
Payer contact directory
Presbyterian Health Plan (Commercial) phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Payer phone
- (505) 923-5757PRESBYTERIAN HEALTH PLAN
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(505) 923-5757 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 05003
- 10646
- 5242
- 8908
- PREHP
- PRESB
- QYCAP
- TH061
- Z0003
- Z0003MA
- Presbyterian (New Mexico)
- Presbyterian Health Plan
- Presbyterian Healthcare Services
- PRESBYTERIANHP
- PRESBTRIAN
