Presbyterian Health Plan Inc

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Providers Presbyterian Health Plan, Inc.

(8 days ago) Presbyterian Health Plan, Inc. Medical Policy Manual; Appeals & Grievances. Appeals & Grievances Form; Reference & Guides. Medical, Pharmacy, and Behavioral Health; Clinical Practice Guidelines; Presbyterian Care Connection; Notifiable Diseases / Conditions in New Mexico; Site of Service; Training & Education. Provider Manuals, Training

https://www.phs.org/providers/Pages/default.aspx

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Presbyterian Health Plan

(7 days ago) The Presbyterian Health Plan (PHP) is a group that offers health insurance plans. This health care system and provider is non-profit and its offers vary widely. The company was founded and is located in New Mexico and has been active for over 100 years. It is the state's only non-profit, private health care system. Thanks to that, they provide a wide variety of health care throughout the state

http://presbyterianhealthplan.com/homepage.html

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Individual & Family Insurance Plan Presbyterian Health

(3 days ago) Presbyterian Health Plan, Inc. offers the Silver 1 health plan to fit both your health needs and your budget. From full coverage to basic essential health care, our plan falls into four categories, which differ based on the way you and the health plan share your health care costs. Get a Quote

https://www.phs.org/health-plans/individual-and-family/Pages/default.aspx

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Provider Portals Presbyterian Health Plan, Inc.

(8 days ago) Presbyterian Health Plan, Inc. Medical Policy Manual; Appeals & Grievances. Appeals & Grievances Form; Reference & Guides. Medical, Pharmacy, and Behavioral Health If you are hired by Presbyterian Healthcare Services or Presbyterian Medical Group, you may be provided with access. Contact your direct manager with access questions.

https://www.phs.org/providers/resources/Pages/portals.aspx

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Presbyterian Health Plan, Inc. Company Profile

(2 days ago) Presbyterian Health Plan is part of integrated health care provider Presbyterian Healthcare Services, a not-for-profit organization that also runs about 40 New Mexico hospitals and clinics, and a medical group consisting of about 400 doctors.

https://www.dnb.com/business-directory/company-profiles.presbyterian_health_plan_inc.c7a67f4a881af58e3eb9fbea184c956d.html

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Contact Us - Providers Presbyterian Health Plan, Inc.

(9 days ago) Presbyterian Provider Network Contact Guide. Provider CARE Unit. Claims, Appeals & Grievance and Prior Authorization questions. (505) 923-5757 or 1 (888) 923-5757. Mon. – Fri., 8:00 a.m. to 5:00 p.m. myPRES Provider Portal Helpdesk. (505) 923-5590 or 1 (866) 861-7444.

https://www.phs.org/providers/contact-us/Pages/default.aspx

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Health Insurance Plans New Mexico Presbyterian Health

(1 days ago) Health Insurance Plans New Mexico Presbyterian Health Plan, Inc. Individual & Family Plan. Medicare Advantage Plans. Centennial Care Medicaid Plans. Centennial Rewards. Transportation Benefits. Presbyterian Baby Benefits. Medicaid Basics. Centennial Care for Native Americans.

https://www.phs.org/health-plans/Pages/default.aspx

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Insurance Card Presbyterian Health Plan, Inc.

(6 days ago) You join Presbyterian Health Plan we will send you a member ID card to you and your covered family members. Your member ID card is used a proof that you have health insurance with us. It is important to keep your member ID card with you when you: Go to the doctor; Go the pharmacy;

https://www.phs.org/tools-resources/member/insurance-card/Pages/default.aspx

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Health Insurance & Hospitals New Mexico Presbyterian

(8 days ago) Find the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.

https://www.phs.org/Pages/default.aspx

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Fraud & Abuse Presbyterian Health Plan, Inc.

(3 days ago) The Presbyterian Health Plan and Presbyterian Insurance Company's Special Investigative Unit (SIU) is responsible for the detection, investigation and reporting of potential fraud and abuse activity. We are required to cooperate with regulatory and law enforcement agencies in reporting any activity that appears to be suspicious in nature.

https://solutionsbiz.com/health-plans/understanding-health-insurance/fraud-and-abuse/Pages/default.aspx

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OF THE PRESBYTERIAN HEALTH PLAN INC

(Just Now) STATEMENT AS OF MARCH 31, 2019 OF THE PRESBYTERIAN HEALTH PLAN INC STATEMENT OF REVENUE AND EXPENSES Current Year To Date Prior Year To Date Prior Year Ended December 31 1 Uncovered 2 Total 3 Total 4 Total 1. Member Months XXX 1,409,956 902,796 4,177,196 2. Net premium income ( including $ non-health

https://www.osi.state.nm.us/wp-content/uploads/2019/06/Presbyterian-Health-Plan-Inc.-1.pdf

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Los Angeles County - Cover Health California

(Just Now) •Foothill Presbyterian Hospital •Garfield Medical Center •Glendale Adventist Medical Center • Monarch Health Plan. 30 • Community Health Systems, Inc. - Fallbrook Family Health Center • Family Health Centers of San Diego - El Cajon (Chase, Main), Lemon Grove, Spring Valley,

https://coverhealthca.com/downloads/plans/english/Molina-MedicalGroups-Hospitals-UrgentCare-2020.pdf

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Presbyterian Health Plan Inc. - osi.state.nm.us

(8 days ago) STATEMENT AS OF SEPTEMBER 30, 2017 OF THE PRESBYTERIAN HEALTH PLAN INC STATEMENT OF REVENUE AND EXPENSES Current Year To Date Prior Year To Date Prior Year Ended December 31 1 Uncovered 2 Total 3 Total 4 Total 1. Member Months XXX 2,959,598 2,959,206 3,959,126 2. Net premium income ( including $ non-health

https://www.osi.state.nm.us/wp-content/uploads/2019/08/Presbyterian-Health-Plan-Inc..pdf

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2021 Summary of Benefits - Imperial Health Plan

(1 days ago) Imperial Health Plan of California, Inc. (HMO) (HMO SNP) This document is available for free in Spanish. This document is available in other formats such as braille, large print or audio. For more information, please call us at 1-800-838- 8271 (TTY 711) October 1 – March

https://documents.imperialhealthplan.com/2021/H5496/Benefits/H5496_198+SB_M+ENG+Accepted+08.31.20.pdf

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Become an Agent Presbyterian Health Plan, Inc.

(6 days ago) Thank you for your interest in becoming an appointed agent for Presbyterian Health Plan, Inc./Presbyterian Insurance Company, Inc. At Presbyterian, we view our relationship with our agents as a partnership. We believe our responsibility in that partnership is to provide you with exceptional service in areas of communication, materials

https://solutionsbiz.com/employers/become-appointed-agent/Pages/default.aspx

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Our Networks Presbyterian Health Plan, Inc.

(6 days ago) Presbyterian Health Plan, Inc. was established in 1985 to provide health benefit management services to Albuquerque employers through Presbyterian Healthcare Services. Today, our health plan offers three lines of business – Medicaid, Medicare Advantage, and Commercial/Individual products – to more than 450,000 members statewide.

https://solutionsbiz.com/providers/our-networks/Pages/default.aspx

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Centennial Care Medicaid Plans Presbyterian Health Plan

(6 days ago) Presbyterian Centennial Care is designed to keep you in good health. We can help you if you are healthy or if you have special needs or need complex healthcare services. Presbyterian Healthcare Services has served New Mexicans for more than 110 years. We have cared for New Mexico's Medicaid members since 1997.

https://www.phs.org/health-plans/centennial-care-medicaid/Pages/default.aspx

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Presbyterian Health Plan - Benefits

(8 days ago) Presbyterian Customer Service Center: 505-923-5600 or toll free at 1-888-275-7737 [MPC021325] STATE OF NEW MEXICO Eff. 7/1/13 1 The following are the Highlights of the New Mexico Health Investment Plan administered by Presbyterian Health Plan, Inc., (PHP) for State of New Mexico employees statewide.

http://benefits.nmsu.edu/wp-content/uploads/sites/15/2013/07/B_I_Pres_NMHIP_SPD_FY14.pdf

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OF THE PRESBYTERIAN HEALTH PLAN INC

(7 days ago) ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC STATEMENT OF REVENUE AND EXPENSES Current Year Prior Year 1 Uncovered 2 Total 3 Total 1. Member Months XXX 3,918,133 3,959,126 2. Net premium income ( including $ 3,346,363 non-health premium income) XXX 1,832,500,312 1,838,874,726 3.

https://www.osi.state.nm.us/wp-content/uploads/2019/06/Q4-2017-PHP-Annual-Statement.pdf

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95330 PRESBYTERIAN HEALTH PLAN INC Original Filing March

(Just Now) ANNUAL STATEMENT FOR THE YEAR 2018 OF THE PRESBYTERIAN HEALTH PLAN INC STATEMENT OF REVENUE AND EXPENSES Current Year Prior Year 1 Uncovered 2 Total 3 Total 1. Member Months XXX 4,177,196 3,918,133 2. Net premium income ( including $ non-health premium income) XXX 2,149,376,736 1,832,500,312 3.

https://www.osi.state.nm.us/wp-content/uploads/2019/06/Presbyterian-Health-Plan-Inc.-2.pdf

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Presbyterian Health Plan Inc - Company Profile and News

(1 days ago) Presbyterian Health Plan, Inc. operates as a non-profit organization. The Organization provides heath care services, as well as renders financial assistance.

https://www.bloomberg.com/profile/company/22123Z:US

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Presbyterian Health Plan - Health Plan Alliance

(4 days ago) Presbyterian Health Plan Issues Public Comment on Centers for Medicare & Medicaid Services Rule Brandon Fryar, president of Presbyterian Health Plan, Albuquerque, New Mexico, has issued a public comment on the Centers for Medicare and Medicaid Services rule entitled "Medicare and Medicaid Programs: Policy and Regulatory Revisions in Response to the COVID-19 Public Health

https://www.healthplanalliance.org/assnfe/cv.asp?ID=38

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Presbyterian Health Plan Provider Directory Presbyterian

(2 days ago) Presbyterian Health Plan and Presbyterian Insurance Company provider networks are the same for both on and off Exchange membership. Presbyterian does not apply any Exchange-specific geographic restrictions, quality measures, member experience measures, or cost-related measures in selecting practitioners or hospitals to participate in our network.

https://solutionsbiz.com/tools-resources/member/Pages/php-directory.aspx

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OF THE PRESBYTERIAN HEALTH PLAN INC

(1 days ago) ANNUAL STATEMENT FOR THE YEAR 2016 OF THE PRESBYTERIAN HEALTH PLAN INC STATEMENT OF REVENUE AND EXPENSES Current Year Prior Year 1 Uncovered 2 Total 3 Total 1. Member Months XXX 3,959,126 3,684,462 2. Net premium income ( including $ non-health premium income) XXX 1,838,874,726 1,658,565,939 3.

https://www.osi.state.nm.us/wp-content/uploads/2019/06/2016-PHP-Statutory-Annual-Filing.pdf

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PRESBYTERIAN HEALTH PLAN, INC Presbyterian Espanola

(3 days ago) Presbyterian Health Plan Inc. 1801 Randolph Rd Se, Albuquerque, NM 87106. Industry: Health Insurance. Phone: (505) 923-5283. Members (2): Gene Lawson (Manager) Aaron Frankel (Information Systems) Presbyterian Health Plex. 6301 Forest Hills Dr Ne, Albuquerque, NM 87109.

https://bizstanding.com/directory/NM/PR/45/

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Health Plan, Inc. - osi.state.nm.us

(8 days ago) Presbyterian Health Plan, Inc. (PHP) is pleased to respond to OSI's proposed rulemaking for the coverage of contraception. PHP understands the desire of 051 to ensure timely access and coverage of various contraceptive services and supplies to all New Mexicans.

https://www.osi.state.nm.us/wp-content/uploads/2020/09/20-00023-RULE-LH-Comments-Dated-September-28-2020-Presbyterian-Health-Plan-Inc..pdf

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Providers Training & Education Presbyterian Health Plan

(2 days ago) Presbyterian Health Plan, Inc. provides education and training opportunities for all its healthcare providers. Contact us today for additional information.

https://solutionsbiz.com/providers/resources/training-education/Pages/default.aspx

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OFFICE OF SUPERINTENDENT OF INSURANCE

(9 days ago) Presbyterian Health Plan, Inc. (PHP) and Presbyterian Insurance Company, Inc. (PIC) are "for profit" corporations incorporated in the State of New Mexico and are wholly owned subsidiaries of Presbyterian Network Inc. (PNI) which is a wholly owned subsidiary of Presbyterian Healtlicare Services (PHS

https://doculib.osi.state.nm.us/wp-content/uploads/2020/03/Presbyterian-Health-Plan-Inc.-As-Of-12-31-2018.pdf

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Tarjeta de Asegurado Presbyterian Health Plan, Inc.

(Just Now) Cuando se inscribe en Presbyterian Health Plan, les enviaremos tarjetas de asegurado a usted y a sus familiares cubiertos. Su tarjeta de asegurado da constancia de que usted tiene nuestro seguro médico. Deberá llevar su tarjeta de asegurado cuando: Vaya al médico. Consiga medicamentos recetados de su …

https://solutionsbiz.com/tools-resources/member/insurance-card/Pages/espanol.aspx?set=true

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Haaland et al v. Presbyterian Health Plan, Inc. et al, No

(4 days ago) Presbyterian Health Plan, Inc. et al Doc. 51 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO BRANELDA SUE HAALAND, Individually and as Personal Representative of the Estate of Billie Jo Hall, deceased, RICHARD HALL, and RICHARD WAYNE HALL, Plaintiffs, v.

https://law.justia.com/cases/federal/district-courts/new-mexico/nmdce/1:2016cv01199/353592/51/

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Presbyterian Health Plan, Inc. State of New Mexico HMO

(6 days ago) Presbyterian Customer Service Center: 505-923-5600 or toll free at 1-888-275-7737 [MPC021324] STATE OF NEW MEXICO Eff. 1/1/14 1 The following are the Highlights of the HMO administered by Presbyterian Health Plan, Inc. (PHP) for State of New Mexico employees Statewide. These benefits are effective 1/1/14 through 12/31/14. The

http://benefits.nmsu.edu/wp-content/uploads/sites/15/2014/01/B_I_Pres_HMO_SOB_FY14.pdf

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STARKO INC v. PRESBYTERIAN HEALTH PLAN INC FindLaw

(Just Now) They argue that the New Mexico Human Services Department (HSD) and managed care organizations, namely, Presbyterian Health Plan, Inc. and Cimarron Health Maintenance Corporation (collectively, the MCOs), which administered Medicaid for the State of New Mexico, were required to pay Plaintiffs in accordance with NMSA 1978, Section 27–2–16(B

https://caselaw.findlaw.com/nm-court-of-appeals/1589794.html

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New York-Presbyterian Community Health Plan Inc

(4 days ago) New York-Presbyterian Community Health Plan Inc. lock Unlock financial insights by subscribing to our monthly plan. Subscribe Unlock nonprofit financial insights that will help you make more informed decisions. Try our monthly plan today. Analyze a variety of pre-calculated financial metrics

https://www.guidestar.org/profile/13-3849659

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OF THE PRESBYTERIAN HEALTH PLAN INC

(1 days ago) STATEMENT AS OF SEPTEMBER 30, 2018 OF THE PRESBYTERIAN HEALTH PLAN INC STATEMENT OF REVENUE AND EXPENSES Current Year To Date Prior Year To Date Prior Year Ended December 31 1 Uncovered 2 Total 3 Total 4 Total 1. Member Months XXX 2,961,180 2,959,598 3,918,133 2. Net premium income ( including $ non-health

https://www.osi.state.nm.us/wp-content/uploads/2019/06/Q3-2018-Presbyterian-Health-Plan-Financial-Statement.pdf

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Presbyterian Healthcare Services hiring QUALITY PROGRAM

(8 days ago) Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico

https://www.linkedin.com/jobs/view/quality-program-manager-intermediate-at-presbyterian-healthcare-services-2751948283

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Presbyterian Health Plan - eHealthInsurance

(9 days ago) phpsahmohix_off_2018 pbhp-131019665 mpc061778 eff. 01/01/2018 individual hmo plans presbyterian . health plan. subscriber agreement . and guide to your managed care plan

https://www.ehealthinsurance.com/ehealthinsurance/benefits/ifp/NM/NMPresbyterian-pel_00248776.pdf-12.2017.pdf

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State of New Mexico Human Services Department Medicaid

(7 days ago) Presbyterian Health Plan, Inc. PSC 18-630-8000-0034 A2 CFDA 93.778 DocuSign Envelope ID: F3C86585-B6EF-4759-B9AA-3498DF8A2FB9. PSC 18-630-8000-0034 A2 CC 2.0 1 Table of Contents

https://www.hsd.state.nm.us/wp-content/uploads/PHP_A2-Completed.pdf

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Final Audit Report - OPM

(8 days ago) Presbyterian Health Plan, IDe. Contract Number CS 2627 - Plan Code P2 Albuquerque, New Mexico. Report No. lC-P2-00-10-008 Date: October 15, 2010 . The Office of the Inspector General performed an audit of the Federal Employees Health Benefits Program (FEHBP) operations at Presbyterian Health Plan, Inc. (Plan). The audit covered contract

https://www.opm.gov/our-inspector-general/publications/reports/2010/fehbponpresbyterianhealthplan-albuquerquenm1c-p2-00-10-008redacted.pdf

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Presbyterian Health Plan, Inc. Case Study - Access Innovations

(6 days ago) Case Study: Presbyterian Health Plan, Inc. See the NM Business Weekly Article Background: Presbyterian Health Plan (PHP) serves more than 418,000 New Mexicans, and is part of the Presbyterian Healthcare Services family. Founded in New Mexico in 1908, Presbyterian is the state’s only private, not-for-profit healthcare system. Presbyterian is the state’s largest provider

https://www.accessinn.com/presbyterian-health-plan-inc-case-study/

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Provider Manuals, Training & Outreach Presbyterian

(3 days ago) Presbyterian hosts annual conferences throughout New Mexico for all contracted physical health, behavioral health and long-term care providers for all lines of business, including Commercial, Medicare and Centennial Care. The sessions feature updates on policies, procedures, state and federal reguations, and initiatives of Presbyterian Health Plan.

https://solutionsbiz.com/providers/resources/training-education/Pages/outreach.aspx

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2021 Summary of Benefits for State of New Mexico Employees

(3 days ago) • Owned by Presbyterian Healthcare Services, Presbyterian Health Plan, Inc. was formed in 1985 and now has more than 600,000 enrolled in Medicare Advantage, Medicaid, and Commercial/Individual plans. Presbyterian by the Numbers Nearly 900 providers in Presbyterian Medical Group More than 13,000 em …

https://www.mybenefitsnm.com/Documents/PHS_2021_SONM_Brochure_proof_3.pdf

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Prior Authorization/Benefit Certification Request Form

(7 days ago) Presbyterian Health Plan, Inc. Presbyterian Insurance Company, Inc. Prior Authorization/Benefit Certification Request Form Prior Authorization Fax: (505) 843-3047 / Inpatient Admission Fax: (505) 843-3107 / UNM Fax: (505) 843-3108. Complete the information below and attach all of the clinical information pertinent to the request.

https://pam.healthxnet.com/help/links/Presbyterian_PA.pdf

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Request A Video Visit via myPRES Presbyterian Health

(1 days ago) A Video Visit is $0 for most members, unless they are on a qualified high-deductible plan. You can contact Presbyterian Customer Service if you are unsure about the Video Visit cost for your plan. What are common health issues that can be treated with Video Visits? Note that Video Visit providers cannot prescribe narcotics or lifestyle medications.

https://solutionsbiz.com/tools-resources/member/video-visit/Pages/schedule-video-visit.aspx

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2019 Summary of Benefits for State of New Mexico Employees

(9 days ago) • Owned by Presbyterian Healthcare Services, Presbyterian Health Plan, Inc. was formed in 1985 and now has more than 500,000 enrolled in Medicare Advantage, Medicaid, and Commercial/Individual plans. Presbyterian by the Numbers More than 800 providers in Presbyterian

https://www.mybenefitsnm.com/documents/Presbyterian-SOB.pdf

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RADMD Presbyterian Health Plan

(9 days ago) Presbyterian Health Plan. Welcome to the Presbyterian Health Plan page. Here you can download policies and procedures specific to the ordering physicians/surgeons and facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Website to obtain and check authorizations.

https://www1.radmd.com/all-health-plans/presbyterian-health-plan.aspx

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NEW MEXICO PUBLIC SCHOOLS INSURANCE AUTHORITY …

(Just Now) Administrator, Presbyterian Health Plan, Inc., or if any provision is not covered or only partially covered, the terms of the Professional Services Agreement will govern in all cases. This booklet does not imply a contract of employment. The New Mexico Public Schools Insurance

https://nmpsia.com/pdfs/Presbyterian%20Benefit%20Booklet%202017-01.pdf

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Presbyterian Healthcare Services - Wikipedia

(2 days ago) Presbyterian Healthcare Services is a private not-for-profit health care system and health care provider in the State of New Mexico. It owns and operates 8 hospitals in 7 New Mexico communities. It also operates Presbyterian Health Plan.

https://en.wikipedia.org/wiki/Presbyterian_Healthcare_Services

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