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Presbyterian Health Plan Medicaid

medical

Summary

Presbyterian Health Plan Medicaid is a medical payer. Claims route under payer ID NMPHP. Through clearinghouses it supports professional claims and institutional claims.

At a glance

Payer ID
NMPHP

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate

Common questions

What is the payer ID for Presbyterian Health Plan Medicaid?
The payer ID for Presbyterian Health Plan Medicaid is NMPHP.
What types of coverage does Presbyterian Health Plan Medicaid offer?
Presbyterian Health Plan Medicaid covers medical.
Can I submit claims to Presbyterian Health Plan Medicaid electronically?
Yes. Presbyterian Health Plan Medicaid is reachable through clearinghouses for professional claims and institutional claims. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.