Access to Presbyterian Healthcare Services

For Emergency Services, call 911 or go to the nearest Hospital, including any PHS Hospital. For non-emergency services, see below. 

Presbyterian Healthcare Services, or “PHS” has providers in several communities in New Mexico. We call these providers “PHS Providers.” To determine if a PHS Provider is a Participating Provider, New Mexico is divided into two geographical areas:

  1. The four counties of Bernalillo, Sandoval, Torrance, and Valencia that we call “Metro Counties;” and
  2. All other counties in New Mexico that we call “Regional Counties.”

To determine if a PHS Provider is a Participating Provider or a Non-Participating Provider for you, there are three options: 

  1. Contact Blue Cross and Blue Shield of New Mexico (BCBSNM) Customer Service at the number listed on the back of your BCBSNM health insurance card;
  2. Refer to our online provider directory under the Find Care tab, Providers in Your Network and click Find a Doctor or Hospital; or
  3. Find the three-letter network identifier on the front of your member ID card. Learn where to find your network identifier.

Using the network identifier on your ID card and the information below, you can determine if a particular PHS Provider is a Participating Provider for you in most situations. 

If the network identifier on your ID card shows HMO or PPO then follow the table below to determine if a PHS Provider is a Participating Provider for you:

 

Your residence is in a Metro County

Your residence is in a Regional County

PHS Provider is in a Metro County

PHS Provider is a Non-Participating Provider *

PHS Provider is a Participating Provider**

PHS Provider is in a Regional County

PHS Provider is a Participating Provider

PHS Provider is a Participating Provider

*The exceptions to this rule are that the providers of the following services are Participating Providers: transplants, neurology, neurosurgery, pediatric endocrinology, pediatric heart surgery, pediatric neurology, pediatric pulmonology, pediatric ear-nose-throat, pediatric gastroenterology, pediatric hematology/oncology or neonatal intensive care, and MRIs at the Presbyterian MRI Center. 

**The exceptions to this rule are the providers of the following services are Non-Participating Providers: primary care.

If the network identifier on your ID card shows BAV, NLP, CNN, MCD, MCA or MCH, then PHS Providers in the Metro Counties are Non-Participating Providers and PHS Providers in the Regional Counties are Participating Providers. 

If the network identifier on your ID card shows PMC then all PHS providers are in network, this include providers in both the Metro Counties and the Rural Counties.

If you have any questions, contact a Customer Service Representative at the number on your ID card.