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2026 November Network Connection
Effective date
Not stated in the notice
Identified
Nov 5, 2026
Summary
Presbyterian's November 2026 Network Connection newsletter is a provider update covering provider education events, a provider satisfaction survey, QuitNow New Mexico and nutrition coaching referral programs, appointment access standards, a reminder to verify provider directory information every 90 days (next deadline stated as Dec. 27), and crisis services documentation and billing guidance including listed codes. It does not describe a new payer policy change with a stated effective date for claims processing.
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What to do
Action · 6 steps
01By Dec.
0227: Providers should verify provider directory information with Presbyterian every 90 days, as the source states this is a federal No Surprises Act requirement with no exemptions.
03Physical health providers update via the provider portal; behavioral health providers use the behavioral health portal.
04Billing team: Confirm the practice's directory verification is completed by this date.
05Ongoing: For crisis services (codes 90839, +90840, H2011, H0030, S9485, 99281-99285, 0513, 0169), ensure charge entry and clinical documentation capture the crisis presentation, interventions, start and stop times, service location, outcomes and follow-up, and verify benefit coverage and billing restrictions before submission, since claims lacking required documentation may result in repayment or corrective action.
06Ongoing: Tell providers and front desk staff about the appointment access standards and the December provider education webinar requirements for contracted behavioral and physical health providers.
Codes mentioned
9083990840H2011H0030S94859928199285
Original notice
2026 November Network Connection
onbaseext.phs.org · Always check the source before changing claims.