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Contact Us

To email Gateway HealthSM:

Member Contact Form
Contact Us via Secure Email
Non-Member Contact

Toll Free Numbers:

Member and Provider Services 8:00 am-8:00 pm (Mon - Fri)
 
Pennsylvania: 1-800-685-5209
Ohio: 1-888-447-4505
Kentucky: 1-855-847-6380
North Carolina: 1-855-847-6430
 
Fraud and Compliance 1-800-685-5235 

Marketing / Sales 1-877-GATEWAY (877-428-3929)   TDD/TYY 711  

 

Mailing Address for Medical and Behavioral Health Claim Forms

Mailing Address for Medical and Behavioral Health Claim Forms (PA Medicare AssuredSM)
Gateway HealthSM 
Claims Processing Center
P.O. Box 830430
Birmingham, AL 35283-0430

Mailing Address for Medical and Behavioral Health Claim Forms (KY, NC & OH Medicare AssuredSM)
Gateway HealthSM 
Claims Processing Center
P.O. Box 830500
Birmingham, AL 35283-0500

Claims Inquiries and Administrative Reviews (Provider Disputes):
Gateway HealthSM
Attention: Claims Review
Four Gateway Center
444 Liberty Avenue, Suite 2100
Pittsburgh, PA 15222-1222

  • Send us a request by fax to:

1.       All Providers: 1-844-207-0334

Clinical Provider Appeals:
Gateway HealthSM
Attention: Provider Review
PO Box 22278
Pittsburgh, PA 15222-1222

  • Send us a request by fax to:

1.  Non-Participating Medicare Provider, and any Pre-Service Appeals: 412-255-4503

2.  All Post Service appeals for Participating (Contracted Providers) and all Medicaid Providers: 855-501-3904

All other correspondence:

Gateway HealthSM
Four Gateway Center
444 Liberty Avenue, Suite 2100
Pittsburgh, PA 15222-1222

Gateway HealthSM offers HMO plans with a Medicare Contract. Some Gateway Health plans have a contract with Medicaid in the states where they are offered.  Enrollment in these plans depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. These plans are available to anyone with Medicare and Medicaid.