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    OpenPayerToolsPayer Contact DirectoryPresbyterian Health Plan

    Presbyterian Health Plan Contact Directory

    6 contact channels across 2 types (Mailing Address, Phone) for claims, prior authorization, provider services, and more.

    Last verified Aug 25, 2026 from the payer's published directories.

    Phone

    5 rows

    ContactPurposeLine of BusinessHoursNotesSource
    888-923-5757Claims Status, Prior Authorization, Provider Services, Appeals Disputes, Pharmacy, Medical Management, Behavioral HealthAllMonday through Friday 8 a.m. to 5 p.m. | Mon–Fri 8 a.m.–5 p.m. (per provider contact page) | After-hours only (see bulletin)Provider Claims Activity Review and Evaluation (CARE) Unit – additional assistance with claims, toll-free | Provider Care Unit – claims, appeals & grievance and prior authorization questions | Provider Care Unit (claims, appeals & grievances, prior authorization questions) toll-free | Provider CARE Unit contact for appeals/grievances and policy/decision disputes (including pharmacy), toll-free | After-hours review – pharmacy prior authorization (option 9 then option 3) | After-hours review – medical prior authorization (option 9 then option 4) | After-hours review – behavioral health prior authorization (option 9 then option 5)View source
    505-923-5757Claims Status, Prior Authorization, Provider Services, Appeals Disputes, Pharmacy, Medical Management, Behavioral HealthAllMonday through Friday 8 a.m. to 5 p.m. | Mon–Fri 8 a.m.–5 p.m. (per provider contact page) | After-hours only (see bulletin)Provider Claims Activity Review and Evaluation (CARE) Unit – additional assistance with claims | Provider Care Unit – claims, appeals & grievance and prior authorization questions | Provider Care Unit (claims, appeals & grievances, prior authorization questions) | Provider CARE Unit contact for appeals/grievances and policy/decision disputes (including pharmacy) | After-hours review – pharmacy prior authorization (option 9 then option 3) | After-hours review – medical prior authorization (option 9 then option 4) | After-hours review – behavioral health prior authorization (option 9 then option 5)View source
    505-923-5141Claims SubmissionAllMonday through Friday, 8 a.m. to 5 p.m.Electronic submission of corrected claims contact - Questions about electronic submission of corrected claimsView source
    505-923-5200Provider ServicesAllNot specified on page (general provider support)General provider support line listed under Providers – Presbyterian Healthcare ServicesView source
    888-977-2333Provider ServicesAllNot specified on page (general provider support)General provider support line listed under Providers – Presbyterian Healthcare ServicesView source

    Mailing Addresses

    1 rows

    ContactPurposeLine of BusinessHoursNotesSource
    Presbyterian Health Plan, P.O. Box 27489, Albuquerque, NM 87125GeneralAllN/AGeneral Presbyterian Health Plan provider mailing address as listed in practitioner and provider manual notice - Provider-related correspondence mailing addressView source

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    More from Presbyterian Health Plan

    • Presbyterian Health Plan prior authorization
    • Presbyterian Health Plan coverage criteria
    • All Presbyterian Health Plan policy updates

    More from Presbyterian Health Plan

    • Presbyterian Health Plan prior authorization
    • Presbyterian Health Plan coverage criteria
    • All Presbyterian Health Plan policy updates

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    Where this data comes from

    Every contact in this directory comes from documents the payers publish themselves, such as provider manuals, quick reference guides, and contact pages, and each payer page shows when its contacts were last verified. You can see all of our data sources and how we process them.

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