P
Payer Directory
Presbyterian Health Plan Medicaid: payer ID and claims support
Presbyterian Health Plan Medicaid uses payer ID NMPHP. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
NMPHPMedicaidPresbyterian Health Plan Medicaid at a glance
What billers need before running a check.
Payer ID
NMPHPReal-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Medicaid
Operating area
Not published
Payer website
www.phs.orgSupported transactions
What can be exchanged electronically with Presbyterian Health Plan Medicaid today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | SUPPORTED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | NOT AVAILABLE |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for Presbyterian Health Plan Medicaid?+–
Presbyterian Health Plan Medicaid uses payer ID NMPHP.
Does Presbyterian Health Plan Medicaid support real-time eligibility verification?+–
Not electronically today. Coverage for Presbyterian Health Plan Medicaid has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
Automate the rest of your revenue cycle
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
65%
fewer denials at Valley Diabetes & Obesity
90%
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$107–149K
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24 mo
in production
