Payer ID
PREHP
Standard EDI claims use PREHP; the Medicaid 'Turquoise Claims' process requires Payer ID 77048 in segment GS03.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
One year (12 months) from date of service to file a provider claim appeal
Clearinghouse
Availity; Claim.MD
Provider Services
888-923-5757
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Presbyterian Health Plan, P.O. Box 27489, Albuquerque, NM 87125-7489
Provider Portal
https://www.phs.org/providers
New Mexico's largest locally-owned not-for-profit plan (commercial, Medicare Advantage, and Medicaid/Centennial Care).
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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