The Presbyterian Health Plan Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative tasks and enhance patient care management. This secure online tool provides critical resources and functionalities for healthcare providers within the Presbyterian network.

Official Links

• Provider Portal: https://www.phs.org/providers/resources/provider-portals
• Login Portal: https://mypres.phs.org/Pages/default.aspx

What Providers Can Do

The PROVIDERConnect portal empowers healthcare professionals with multiple administrative capabilities:

• Verify patient eligibility
• Track claims information
• Monitor payment status
• Submit adjustment requests
• Process prior authorizations
• Update provider directory profiles

Access and Authentication

Login Process

Providers can access the portal through the myPRES login system. Important authentication details include:

• Unique User ID required
• Password authentication
• Security notes: Inactive accounts for six months will be deactivated

Registration Options

• Providers can register for a new account
• Requires verification through Presbyterian Health Plan’s system

Portal Features: PROVIDERConnect

Key Functionalities

• Real-time eligibility verification
• Comprehensive claims management
• Payment tracking mechanisms
• Benefit certification processes
• Provider profile management

Support and Training

Help Desk Information

• Weekday Hours: 8 a.m. – 5 p.m.
• Phone Support:
  • 505-923-5590
  • 1-866-861-7444
• Email: [email protected]

Training Resources

• Online User Manual Available
• In-person training through Provider Network relationship team

Additional Portal: EpicConnect Citrix

For Presbyterian Healthcare Services employees, the EpicConnect Citrix Portal offers:

• Patient care management
• Secure messaging
• Payment tracking
• Online scheduling review

Security and Privacy

Key Security Measures

• Restricted access for authorized users
• Subject to comprehensive auditing
• Compliance with federal and state computer system regulations

Access Limitations

• Limited Citrix access
• Requires organizational employment
• Managed through direct managerial approval

System Requirements and Support

Technical Support Contacts

• Epic Security: 505-923-7111
• IT Service Desk: 505-923-6825
• Email Support for Clinical Questions: [email protected]

Unprovided Information

Some specific details were not available in the source documents, including:

• Exact mobile app download instructions
• Comprehensive billing portal features
• Detailed technical system requirements

The Presbyterian Health Plan Provider Portal represents a robust, secure digital platform enabling healthcare providers to efficiently manage administrative tasks, patient information, and critical healthcare processes.

Disclaimer

Information is current as of August 2025, based on available Presbyterian Health Plan documentation.