To submit the form, gather the necessary information such as your member ID, appointment details, and special needs. Complete the form using PrintFriendly’s PDF editor, ensuring all mandatory fields are filled out. Save the completed form and submit it via email to centennialcare@phs.org, fax it to (505) 923-6310, or mail it to Presbyterian Customer Service Center, P.O. Box 27489, Albuquerque, NM 87125-7489. Ensure you provide accurate information to avoid delays in accessing your benefits.

There are no specific important dates mentioned for 2024 and 2025 in the provided document.

The purpose of the Presbyterian Centennial Care FAQ is to provide members with comprehensive information about their transportation, lodging, and meals benefits. The document outlines the procedures for scheduling rides, arranging lodging, and coordinating meals, ensuring that members have access to necessary medical services. It also includes frequently asked questions to address common concerns and provide clarity on how to utilize these benefits. By providing clear and detailed information, the FAQ aims to enhance the overall healthcare experience for Presbyterian Centennial Care members.

• 1. Full Name: Enter the full name of the Presbyterian Centennial Care member.
• 2. Date of Birth: Provide the date of birth of the member.
• 3. Member Identification Number: Enter the member's ID number from the Presbyterian insurance card.
• 4. Appointment Details: Include the date, time, and type of appointment.
• 5. Provider Information: Provide the name, address, and phone number of the healthcare provider.
• 6. Special Needs: List any special needs such as medical equipment, oxygen, wheelchair, walker, etc.
• 7. Reason for Appointment: Specify the general reason for the appointment (e.g., primary care, dental, vision, behavioral health).

Failing to submit the form may result in an inability to access transportation, lodging, and meals benefits. This can lead to missed medical appointments and lack of support during travel.

• Missed Medical Appointments: Without proper transportation, members may miss important medical appointments.
• Lack of Lodging: Inability to arrange lodging may result in difficulty accessing necessary medical care, especially for out-of-town appointments.
• Meal Support: Members may not receive meal support during medical travel, leading to additional expenses.

• 1. Scheduling Transportation: Use this form to arrange transportation for medical appointments.
• 2. Arranging Lodging: Use this form to request lodging support for out-of-town medical appointments.
• 3. Coordinating Meals: Use this form to coordinate meal support during medical travel.