ID: 25169
Managed Care Organization
PA

Gateway Health Plan Medicaid PA

Gateway Health Plan (Medicaid PA) is a Pennsylvania-focused Medicaid managed care organization providing Medicaid health plan services including medical claim adjudication, provider relations, and member services.

Capabilities

Professional Claims (1500)
Institutional Claims (UB-04)
Electronic Attachments
Workers' Comp
ERA/Remittance
Eligibility Verification
Claim Status Inquiry
Prior Authorization
Dental Claims
Secondary Claims
Real-Time Processing

Alternative Names

Name Payer ID
Gateway Health
Gateway Health Plan - Medicare Assured 60550
Gateway Health Plan (Medicaid PA) - eligibility ID GATEWAY-PAMCD
Highmark Wholecare (listed as related) 4569/8472

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