P
Payer Directory
Presbyterian Medicare: payer ID and claims support
Presbyterian Medicare uses payer ID PRESA. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
PRESAMedicarePresbyterian Medicare at a glance
What billers need before running a check.
Payer ID
PRESAAlso known as 1691, 4252, Z0077
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Medicare
Operating area
Not published
Payer website
www.phs.orgSupported transactions
What can be exchanged electronically with Presbyterian Medicare 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 | ENROLLMENT REQUIRED |
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 Medicare?+–
Presbyterian Medicare uses payer ID PRESA. It also appears as 1691, 4252, Z0077 in some systems.
Does Presbyterian Medicare support real-time eligibility verification?+–
Not electronically today. Coverage for Presbyterian Medicare 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%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
