Contacts
All LOB Contacts
External Phone Numbers
Name | Local | Long Distance | Fax # | Notes |
---|---|---|---|---|
Accu-Check | 1-888-355-4242 | 1-888-744-3671 | ||
Adult Protective Services Statewide Central Intake | 1-866-654-3219 | |||
Advanced Imaging Ordering Program (NIA) | 1-866-236-8717 | 1-800-784-6864 | Website: RadMD | |
Apria | 505-881-9111 | 1-888-492-0010 | ||
APS HR: APS Employee Benefits | 505-889-4859 | 505-889-4882 | Email: employee.benefits@aps.edu | |
Assist America | 1-800-872-1414 | 1-609-986-1234 | Email: medservices@assistamerica.com (non-emergencies) | |
BCBS Centennial Care | 1-866-689-1523 | |||
Benefit Source | 505-237-1501 | |||
Benefit Source: For Iplan/Group | 1-855-201-0017 | Also referred to as TDA (Total Dental Administrators) | ||
BeWellNM/HIX | 1-833-862-3935 | |||
Briova | 1-855-427-4682 | Website: Briova | ||
Briova - Specialty Pharmacy | 1-855-427-4682 | Website: Briova | ||
CABQ HR | 505-768-3758 | |||
CastisRx | 314-652-3121 | 1-800-652-9550 | 314-652-3126 | |
Catamaran | 1-866-528-5829 | |||
Centennial Care Member Rewards | Website: Centennial Care Rewards | |||
Certified Language International | 1-855-774-5833 |
| ||
Child Protective Services | 1-855-333-7233 | |||
City of Albuquerque Mobile Health Unit | 505-220-6562 | |||
Clinical Justification Form | 505-843-3019 | |||
Cobra | 1-877-279-7959 | 8am-5pm CT | ||
Conduent | 1-800-820-6901 | Provider Enrollment with HSD:
| ||
Conexis | 1-877-722-2667 | |||
Davis Vision | 1-800-999-5431 | |||
Delta Dental | 505-883-4777 | |||
Dental Source | 505-237-1501 | 1-888-862-8659 | 505-237-8344 | Website: Dental Source |
DentaQuest | 1-888-278-7310 | |||
DentaQuest Provider Services | 1-855-343-4276 | Hours: Monday-Friday 8am-5pm CT | ||
Edgepark | 1-888-394-5375 | |||
Education & Outreach - Medicaid | 505-923-8291 | 1-844-788-8291 | Email: centennialcareoutreach@phs.org | |
Express Scripts: APS | 1-866-563-9297 | |||
Express Scripts: NMPSIA | 1-800-498-4904 | |||
Express Scripts: NMRHCA | 1-800-501-0987 | |||
Express Scripts: SONM | 1-800-743-1720 | |||
Express Scripts: UNM | 1-800-232-6549 | |||
Eye Med | 1-800-843-3272 | |||
Hanger | 505-881-8245 | 505-883-6243 | ||
Health Equity | 1-877-877-3696 | |||
HME | 505-888-6500 | 505-888-6505 | ||
Home Health Services Pres | 1-877-606-1151 | |||
HSD Client Services Bureau | P.O. Box 2348 Santa Fe, NM 87504-2348 | |||
HSD Fair Hearing Bureau | 505-476-6213 | 1-800-432-6217
|
505-476-6215 | Fair Hearing Bureau |
HSD Provider Relations Help desk | 1-800-299-7304 | Email: NM.Providers@state.nm.us | ||
Informed Rx | 1-800-881-1966 | |||
Instamed | 1-866-467-8263 | |||
IRS | 1-888-829-1040 | |||
ISD Customer Service Center | 1-800-283-4465 | |||
Maximus Part D Appeals | 585-348-3300 | 1- 866-589-5241 | MAXIMUS, Federal Services, Medicare Part D QIC
3750 Monroe Avenue, Suite 704 Pittsford, NY 14534-1302 | |
Medicaid Call Center | 1-888-997-2583 | Switch MCO | ||
Medicare (original) | 1-800-633-4227 | Website: Medicare | ||
Mini Med | 1-800-646-4633 | |||
Multiplan | 1-800-922-4362 | |||
My Advocate | 1-866-851-0324 | Website: My Advocate | ||
My Advocate recertification | 1-866-260-8083 | |||
New Mexico Aging and Long Term Services | 1-800-432-2080 | Mon- Fri | ||
NMPSIA | 1-800-548-3724 | |||
NMRHCA |
|
1-800- 233- 2576 |
| |
OPM Fed Employees: Employee Services | 202-606-7400 | |||
OPM Fed Retirement Services | 1-888-767-6738 | |||
Optum (transplants) | 1-800- 847-2050 | |||
OptumRx | 1-866-528-5829 | 1-800-491-7997 | ||
OptumRx Mail Order | 1-866-528-5829 | 1-800-491-7997 |
| |
Optum RX- Provider Relations | 1-800-880-1188 | |||
PNM Benefits Department | 505-241-4919 | 1-800-640-4692 | ||
Presbyterian Hospital Central | 505-841-1234 | |||
Presbyterian Medical Records | 505-841-1944 | |||
Presbyterian Tobacco Quit Solutions (Clickotine) | Website: Clickotine | |||
Prime Healthways | 1-877-238-6240 |
| ||
Public Provider Assignment | 505-923-2011 | |||
Radiology Associates Billing Office | 1-800-475-3698 | |||
Sales Commercial | 505-923-5807 | |||
Sales Iplan | 1-866-869-7737 | 505-923-8252 | ||
Sales Medicare | 505-923-8458 | 1-800-347-4766 | 505-923-5385 | |
Sandia Retirees: OneExchange Enroll/Demographic Change | 1-888-598-7809 | |||
Sandia Retirees: Premiums | 1-877-388-5643 | |||
Santa Fe County | 505-923-7324 | 1-855-593-7737 | Hours: Monday-Friday 7:00am-6pm | |
Secure Transportation | 505-923-6300
|
1-855-774-7737 | Open 24 hours a day and 7 days a week | |
Silver Horizons | 505-884-3881 |
| ||
Silver Sneakers | 1-888-423-4632 | Live and OnDemand Flyer | ||
Silver Sneakers Tuition Rewards | 1-877-210-1307 |
| ||
Smoking Cessation | 1-800-784-8669 | |||
Social Security | 1-800-772-1213 | |||
Solutran OTC |
|
| ||
SONM ERISA | 505-244-6000 | 1-855-618-1800 | 505-244-6009 | |
Superior Ambulance (Non-ER) | 505-247-8840 | |||
Superior Vision | 1-800-879-6901
|
| ||
Traditional Medicine Value Added Service Fax/Address | 505-355-7150 | Address:
Presbyterian Centennial Care Attn: Claims PO BOX 27489 Albuquerque, NM 87125-7489 | ||
Transplant Coordination | 505-503-0939 | Contact: Darlene Sanchez | ||
TruHearing | 1-866-202-0145 | |||
TTY | 711 | |||
United Concordia Dental | 1-888-898-0370 | |||
United Seating (New Motion) | 505-338-6100 | |||
UNM Retirees | 505-277-6947 | |||
VSP | 1-800-877-7195 | |||
Wagner Equipment Co. Human Resources | 505-345-8411 | 1-800-432-6612 | ||
Walgreens Mail Order | 1-866-525-1590 | |||
Walgreen's Specialty Care Pharmacy | 1-866-578-6337 | |||
Western Sky Community Care | 1-844-543-8996 | Hours: M-F 8am-5pm | ||
Western Teamsters | Eligibility: 1-800-932-4790 | |||
Zelis E-payment Provider Portal enrollment/client services: For contracted providers | 1-855-774-4392 |
| ||
Zelis Payments Portal enrollment/client services: For non-contracted providers | 1-877-828-8770
|
| ||
Zeneth (UFCW only) | 505-888-2620 |
Queue Phone Numbers
Product/Queue | Hours | Local | Toll-Free |
---|---|---|---|
Billing Specialist | M-F 7-6 | 505-923-5150 | |
Broker | M-F 8 -5 | 505-923-5656 | 1-866-246-9877 |
Centennial Care - Navajo | M-F 8-6 | 505-923-5157 | 1-888-806-8793 |
Centennial Care - Travel | M-F 8-6 | 505-923-8774 | 1-855-769-7737 |
Centennial Care (Medicaid) | M-F 8-6 | 505-923-5200 | 1-888-977-2333 |
City of ABQ (Comm) | M-F 7-6 | 505-923-7787 | 1-855-261-7737 |
City of Rio Rancho | M-F 7-6 | 505-923-5208 | 1-877-752-4164 |
Commercial | M-F 7-6 | 505-923-5678 | 1-800-356-2219 |
Engage | M-F 7-6 | 505-923-7521 | 1-855-923-7521 |
Medicare OEV | M-F 8-5 | 505-923-6780 | 1-855-768-7737 |
Medicare RSVP | M-Sun 8-8 | 505-923-6001 | 1-866-593-7436 |
Senior (PSC) | M-Sun 8-8 | 505-923-6060 | 1-800-797-5343 |
D-SNP | M-Sat 8-8 | 505-923-7675 | 1-855-465-7737 |
IBAC | M-F 7-6 | 505-923-5600 | 1-888-275-7737 |
Intel - Connected Care | M-F 8-6 | 505-923-8000 | 1-855-780-7737 |
PCU | M-F 8-5 | 505-923-5757 | 1-888-923-5757 |
PIC | M-F 7-6 | 505-923-6980 | 1-800-923-6980 |
Presbyterian Employee Assist Team | M-F 8-5 | 505-923-5260 | 1-855-462-7737 |
Prospective Centennial Members | M-F 8-6 | 1-844-788-8291 | |
SCI | 505-923-5225 | 1-866-593-7434 | |
Select Provider Network (Broker) | M-F 8-5 | 505-923-8500 | 1-800-863-8710 |
Spanish | |||
TriCore Labs | M-F 7-6 | 505-923-5258 | 1-866-979-6778 |
UFCW (Comm) | M-F 7-6 | 505-923-6990 | 1-855-271-7737 |
UNM | M-F 7-6 | 505-923-5232 | 1-866-574-9567 |
Internal Phone Numbers
Name | Local | Long Distance | Fax # | Notes |
---|---|---|---|---|
Appeals and Grievances | 505-923-6111 |
| ||
Baby Benefits Program | 505-923-5017
VM line only. Cold transfer member to leave name, call back # and message. |
1-866-634-2617
VM line only. Cold transfer member to leave name, call back # and message. |
505-213-0185 |
Presbyterian Health Plan Population Health Management P.O. Box 27489 Albuquerque, NM 87125
|
Behavioral Health PA dept. | 505-923-5757
|
505-843-3019 | ||
Care Coordination Intake | Use Genesys option: Care-Coordination | Select option #2 Referrals | ||
Claims Configuration | 505-923-6890 | |||
Claims medical record | 505-923-8290 | Used if a provider needs to fax medical records or an itemization for a claim | ||
Credentials Verification Organization | 505-923-5993 | |||
Enrollment Hot Phone | 505-923-7115 | 505-923-8252 |
| |
Environmental Modification | Email: ccenviormentalmod@phs.org | |||
Financial Counselor | 505-841-1406 | Admitting at Presbyterian Main | ||
HCC Internal Transfer | 505-724-8982 | Medicare health and wellness assessment | ||
Health Assessments | 505-923-7314 | 1-855-451-7737 | M-F 8-5 | |
Health coach | 505-923-8858 |
| ||
HealthPlex | 505-823-8399 | 505-823-8324 | ||
Health Services PA dept. | 505-923-5757
|
|||
Healthy Solutions department | 505-923-5487 | 1-800-841-9705 | Email: HealthySolutions@phs.org
| |
HIPAA Release Forms | 505-923-5124 | Email: pcscregulatory@phs.org | ||
Home Health | 505-559-1144 | 505-559-1150 | ||
Hospital Switchboard |
|
| ||
HR | 505-923-8750 | |||
IPlan Renewal Call Center | ||||
IT | 505-923-6825 | |||
LTC Support Broker Service | 505-589-8340 | |||
Mail Room | 505-923-5658 | |||
Medication Therapy Management | 505-923-6790 | |||
MyPRES Provider Portal Help desk | 505-923-5590 | 1-866-861-7444 | Website: MyChart
| |
New Family and Childbirth Classes | 505-563-6501 | Website: New Parent Class Signup
| ||
Patient Advocacy | 505-724-6800 | Assistance with filling out PFS Financial assistance application | ||
Patient Advocate Line | 505-923-5256 | For patients of Pres (member or non member) who have complaints regarding care or other services at Presbyterian Facilities | ||
Patient Financial Counselor | 505-841-1406 | Admitting at Presbyterian Main | ||
PCU | 505-923-5757 | 1-888-923-5757 |
| |
PFS | 505-923-6600 | |||
Pharmacy | 505-923-5540
|
1-800-724-6953 | ||
Presbyterian Account Verification/Pre-Registration | 505-923-8300 | |||
Pre-CNA Transfer | 505-923-7320 |
| ||
Presbyterian Cent. CareOmbudsman | 505-923-5780 | 505-923-8159 |
Attention: Ombudsman Presbyterian Centennial Care 9521 San Mateo Blvd. NE Albuquerque, NM 87113 | |
Presbyterian Sample Pharmacy |
|
Website: Sample pharmacy | ||
Presbyterian Specialty pharmacy | 505-823-8800 | 1-855-775-7737 | 505-823-8833 |
|
PRESious Beginnings 505-563-6306 | 505-563-6306 | |||
PresRn | 505-923-5677 | 1-888-730-2300 | To transfer a member call use Genesys option:
| |
Privacy Officer: Sofia Collaros | 505-923-6176 | Email: scollaros@phs.org | ||
Provider Network Management | 505-923-5400 | |||
Sales-DSNP | 505-923-5264 | |||
Sales-Medicare | 505-923-8458 | 1-800-347-4766 | 505-923-5385 | |
Security | 505-841-1200 | |||
Subrogation |
|
|||
Support Broker Services | 505-589-8340 | |||
Transplant Coordination: Darlene Sanchez | 505-503-0939 | |||
UM - Long Term Care (Urgent only)
|
505-923-8145 | 505-843-3195 |
| |
Workforce | 505-923-6156 |
After Hours Phone Numbers
Name | Number | Notes |
---|---|---|
Centennial Care Coordination | 505-923-8858 | Call hours: After 5pm |
Health Risk Enrollment | 505-493-0414 | |
Magellan/Behavioral Health Crisis Line | 1-800-424-4657 | |
New Mexico Crisis and access Line ( NMCAL) | 1-855-662-7474 | |
On-Call Care Coordination Director | 505-620-5052 | Call hours: After 5pm |
On-Call Care Coordination Manager | 505-249-2036 | Call hours: After 5pm |
On-Call UM Prior Auth Manager | 505-934-9296 | Call hours: After 5pm |
On-Call UM Prior Auth Nurse | 505-269-5560 | Call hours: After 5pm |
Optum Rx Pharmacy Help Desk | 1-866-528-5829 | HP Passcode: Happy New Year |
Pharmacy On Call | 505-220-9063 | For issues Optum Rx is unable to assist with |
Behavioral Health Phone Numbers
Name | Number | Notes |
---|---|---|
Availity | 1-800-282-4548 | Website: Availity |
New Mexico Crisis and Access Line | 1-855-662-7474 | |
Magellan | 1-800-424-4657 | |
PHP Behavioral Health Department | 1-505-923-5470 |
PMG Primary Care
Location | Address | Phones |
---|---|---|
Atrisco |
3901 Atrisco Dr. NW
|
505-462-7575 |
Belen |
609 S. Christopher Rd.
|
505-864-5454 |
Intel |
4100 Sara Rd SE
|
505-253-7900 |
Kaseman FP |
8300 Constitution NE
|
505-291-2402 |
Kaseman IM |
8300 Constitution NE
|
505-291-2200 |
Las Estancias |
3630 Las Estancias SW
|
505-462-7777 |
Los Lunas |
200 Emilio Lopez Rd
|
505-866-2700 |
Montgomery |
8800 Montgomery Blvd NE
|
505-462-6400 |
Northside |
5901 Harper Dr. NE
|
505-823-8282 |
Pan American |
6100 Pan American Fwy NE, Ste 390
|
505-823-8599 |
Paradise |
4588 Paradise Blvd. NW
|
505-998-1717 |
Rio Rancho FP |
4005 High Resort Blvd
|
505-462-6000 |
Rio Rancho IM |
4005 High Resort Blvd
|
505-462-6000 |
Rio Rancho Peds |
4005 High Resort Blvd
|
505-462-6000 |
RR 528 |
3777 NM 528
|
505-404-2590 |
San Mateo |
401 San Mateo SE
|
505-462-7333 |
Santa Fe |
454 St. Michael's Dr
|
505-303-5000 |
Wyoming |
5550 Wyoming Blvd. NE
|
505-462-6600 |
PMG Specialties
Location | Address | Phones |
---|---|---|
Bariatric Surgery Center
|
2400 Unser Blvd SE
|
505-253-6100 |
Behavioral Health
|
1325 Wyoming Blvd. NE
|
505-291-5300 |
Behavioral Health
|
8312 Kaseman Ct. NE
|
505-291-5300 |
Cardiology
|
7920 Carmel Ave NE
|
505-563-2500 |
Cardiology
|
201 Cedar St. SE, Suite 7600
|
505-563-2500 |
Cardiology
|
2400 Unser Blvd. SE
|
505-253-6300 |
Ear, Nose & Throat
|
201 Cedar St. SE, Suite 4600
|
505-253-6100 |
Ear, Nose & Throat
|
2400 Unser Blvd SE #150
|
505-253-6100 |
Endocrinology
|
8300 Constitution Ave. NE
|
505-559-6400 |
Endocrinology
|
4100 High Resort Blvd. SE
|
505-559-6400 |
Gastroenterology
|
1100 Lead Ave. SE
|
505-224-7000 |
Gastroenterology
|
2400 Unser Blvd, Suite 19100
|
505-224-7000 |
General Surgery
|
201 Cedar St. SE
|
505-253-6100 |
General Surgery
|
8300 Constitution Ave NE
|
505-253-6100 |
General Surgery
|
2400 Unser Blvd SE, Suite 19400
|
505-253-6100 |
Home Healthcare |
8100 Constitution Pl. NE, Ste 400
|
505-559-1000 |
Home Healthcare
|
505-559-1144 | |
Hospice |
8100 Constitution Pl. NE, Ste 400
|
505-559-1000 |
Infusion Center
|
201 Cedar Ave. SE, Suite 4620
|
505-563-1309 |
Infusion Center
|
4100 High Resort Blvd. SE
|
505-462-8700 |
Intensive Outpatient Program
|
8300 Constitution Ave.
|
505-291-2560 |
Inpatient Psychiatric Services
|
8300 Constitution Ave. NE
|
505-291-5300 |
Kidney Transplant Services |
201 Cedar St. SE
|
505-841-1434 |
Neurology
|
8120 Constitution Pl. NE,Ste 120
|
505-823-8777 |
Neurology
|
4100 High Resort Blvd. SE
|
505-291-2730 |
Neurosurgery
|
201 Cedar St. SE, Suite 5630
|
505-563-6399 |
Nutrition Counseling Services
|
8300 Constitution NE
|
505-291-2343 |
OB/GYN
|
201 Cedar St. SE, Suite 5600
|
505-563-6000 |
OB/GYN
|
Isleta, Los Lunas, Pan American, San Mateo, Santa Fe |
505-823-8787
|
OB/GYN
|
2400 Unser Blvd. SE, Ste 18200
|
505-253-6200 |
Oncology/Hematology/Radiation Cancer Center
|
8300 Constitution Ave. NE, Bldg D
|
505-559-6100 |
Oncology/Hematology/Radiation Cancer Center
|
4100 High Resort Boulevard SE
|
505-559-6100 |
Orthopedics
|
8300 Constitution Ave. NE
|
505-559-6444 |
Orthopedics
|
2400 Unser Blvd. SE, Suite 8100
|
505-253-6100 |
Pain & Spine
|
8300 Constitution Ave. NE
|
505-291-2770 |
Pain & Spine
|
4100 High Resort Blvd. SE
|
505-291-2770 |
Palliative Medicine |
8100 Constitution Pl. NE, Ste 400
|
505-559-1000 |
Pediatric Endocrinology |
201 Cedar St. SE, Suite 4640
|
505-563-6530 |
Pediatric Gastroenterology |
201 Cedar St. SE, Suite 4660
|
505-563-6530 |
Pediatric Hematology/Oncology |
201 Cedar St. SE, Suite 4660
|
505-563-6530 |
Pediatric Neurology |
201 Cedar St. SE, Suite 4660
|
505-563-6530 |
Pediatric Pulmonology |
201 Cedar St. SE, Suite 4660
|
505-563-6530 |
Pediatric Surgery |
201 Cedar St. SE, Suite 4660
|
505-563-6530 |
Physical Therapy
|
3715 Southern Blvd SE
|
505-823-8350 |
Physical Therapy
|
6301 Forest Hills Drive NE
|
505-823-8350 |
Physical Therapy
|
8100 Constitution Pl., NE
|
505-823-8350 |
Podiatry
|
5901 Harper Dr. NE
|
505-823-8444 |
Podiatry
|
8300 Constitution Ave. NE
|
505-559-6444 |
Podiatry
|
2400 Unser Blvd SE #8100
|
505-253-6100 |
Pulmonology
|
5901 Harper Dr NE, Entrance C2, Suite 2400
|
505-823-8200 |
Radiology Scheduling
|
Presbyterian Downtown, Presbyterian Kaseman, Presbyterian Rust | 505-724-7627 |
Rheumatology
|
8300 Constitution Ave. NE
|
505-291-2222 |
Rheumatology
|
4100 High Resort Blvd. SE
|
505-291-2222 |
Sleep Disorder Center
|
8300 Constitution Ave. NE
|
505-291-2700 |
Sleep Disorder Center
|
4100 High Resort Blvd. SE
|
505-462-8520 |
Specialty Care Pharmacy |
4580 Paradise Blvd NW
|
505-823-8800 |
Surgical Oncology
|
201 Cedar St. SE
|
505-563-1000 |
Surgical Oncology
|
2400 Unser Blvd. SE, Suite 8100
|
505-253-6100 |
Urology
|
2400 Unser Blvd. SE,
|
505-563-6565 |
Wound Center |
5901 Harper Dr. NE
|
505-823-8870 |
Prior Authorization Fax Numbers
Title | Fax # | Web | Phone |
---|---|---|---|
Appeals | 505-923-6111 | ||
Behavioral Health Inpatient | 505-923-5757 opt. 5 | ||
Home Health Care | 505-559-1150 | ||
Inpatient Services | 505-843-3107 | ||
Long-Term Care | 505-843-3195 | ||
Magellan Behavioral Health | 505-843-3019 | ||
NIA | 1-800-784-6864 | https://www.RadMD.com | 1-866-236-8717 |
Outpatient Services / DME/ Prosthetics/ Orthotics | 505-843-3047 | ||
Pharmacy | 505-923-5540 | ||
UNM | 505-843-3108 |
All LOB Mailing Addresses
Mailing Address | Cooper Center Address |
---|---|
PO Box 27489
Albuquerque, NM 87125 |
9521 San Mateo Blvd
Albuquerque, NM 87113 |
PCSC Fax: 505-923-5124 | Hours of Operation: M-F 8am-5pm |
Premium Billing Mailing Address
Plan | Address |
---|---|
Commercial Members | Presbyterian Health Plan
Po Box 911594
|
Presbyterian Senior Care Members | Presbyterian Health Plan
PO Box 911594
|
Presbyterian PPO Medicare Members | Presbyterian Health Plan
PO BOX 911600
|
Claims Mailing Address Submitted by a Provider
Plan | Address |
---|---|
Medical Claims Submitted By a Provider |
P.O. Box 911594
|
UNM Medical Claims Submitted By a Provider |
P.O. Box 26267
|
Centennial Behavioral Health Claims Submitted By a Provider |
P.O. Box 25926
|
Claims Mailing Address Submitted by a Member
Plan | Address | |
---|---|---|
All Behavioral Health, Medical, or Pharmacy Health Claims Submitted by a Member | Claims Department |
P.O. Box 27489
|
Medicare PPO Members claims | Presbyterian MediCare PPO |
P.O. Box 25361
|