Supported Transactions and Enrollment
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Enrollment required |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
05003 - Payer ID
10646 - Payer ID
5242 - Payer ID
8908 - Payer ID
PRESB - Payer ID
QYCAP - Payer ID
TH061 - Payer ID
Z0003 - Payer ID
Z0003MA - Also listed as Presbyterian (New Mexico)
- Also listed as Presbyterian Health Plan (Commercial)
- Also listed as Presbyterian Healthcare Services
Coverage states
New Mexico.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan Around Transaction Gaps
- Use 837P for professional services and 837I for institutional services; confirm the claim type before submission.
- Complete payer enrollment before requesting EFT, ERA, or combined ERA/EFT, and retain confirmation for follow-up.
- If eligibility results do not include coordination-of-benefits information, verify other coverage through your established process.
- Use your existing non-electronic or alternate payer process for claim status, dental claims, and attachments.
- Until ERA is active, use your established remittance workflow and reconcile payments against submitted claims.
Common questions
Can I submit electronic claims to this payer?
Yes. Institutional claims use 837I, and professional claims use 837P; dental claims using 837D are not supported.
Does this payer support electronic eligibility verification?
Yes, eligibility and benefits inquiries use 270/271 transactions. Coordination-of-benefits information is not supported through this connection.
How do I receive ERA or EFT from this payer?
ERA, EFT, and combined ERA/EFT are supported after the practice completes the payer's required enrollment. They are not available through this connection before enrollment is completed.
Can I check claim status or send attachments electronically?
No. Claim status transactions using 276/277 and attachments using 275 are not supported through this connection, so use your established alternate process.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo