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CredNet

Presbyterian Medicare

medical

Summary

Presbyterian Medicare is a medical payer. Claims route under payer ID PRESA, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
PRESAAlso seen as 1691, 4252, Z0077

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
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for Presbyterian Medicare?
The payer ID for Presbyterian Medicare is PRESA. Alternate IDs seen across clearinghouses include 1691, 4252, Z0077.
Does Presbyterian Medicare require ERA enrollment?
Yes. Presbyterian Medicare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What types of coverage does Presbyterian Medicare offer?
Presbyterian Medicare covers medical.
Can I submit claims to Presbyterian Medicare electronically?
Yes. Presbyterian Medicare is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. 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 Spot something out of date?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.