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Contact Us

We are glad you want to know more about Gateway HealthSM.  To assist you most efficiently, please choose from the information below that best describes your area of interest.

Medicaid

To email Gateway HealthSM:

Member Contact - PA Medicaid
Contact Us via Secure Email
Website Contact

Toll Free Numbers:

Member Services 1-800-392-1147
Provider Services 1-800-392-1145
Health Services - UM 1-800-392-1146
Member Eligibility - DIVA 1-800-642-3515
Special Needs/ Prev Health 1-800-642-3550
Pharmacy 1-800-528-6738
Fraud and Compliance 1-800-685-5235
Family Health Council 1-800-532-9465
Health Choices 1-800-440-3989
TDD/TYY 1-800-654-5984

 

Claims and Referral Forms Mailing:
Gateway HealthSM 
Claims Processing
P.O. Box 830249
Birmingham, AL 35283-0249

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

Provider Appeals:
Gateway HealthSM 
Attention: Provider Appeals Department
Four Gateway Center
444 Liberty Avenue, Suite 2100
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

Member Complaints and Appeals:
Gateway HealthSM
Attn: Member Appeals Department
444 Liberty Avenue
Pittsburgh, PA 15222
Fax: 412-255-4503    

All other correspondence:
Gateway HealthSM  
Four Gateway Center
444 Liberty Avenue, Suite 2100
Pittsburgh, PA 15222-1222

Medicare Assured

To email Gateway HealthSM:

Member Contact - Medicare AssuredSM
Contact Us via Secure Email
Non-Member Contact
Website Contact

Toll Free Numbers:

Member Services 1-800-685-5209 8:00 am-8:00 pm
7 days a week
Provider Services 1-800-685-5205 8:30-4:30 M-F
Health Services - UM 1-800-685-5207  
Special Needs /Prev Health 1-800-685-5212 8:30-4:30 M-F
Pharmacy 1-800-685-5215 8:15-4:30 M-F
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 (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:
Gateway HealthSM 
Attention: Claims Review
Four Gateway Center
444 Liberty Avenue, Suite 2100
Pittsburgh, PA 15222-1222

Provider Appeals:
Gateway HealthSM
Attention: Appeals Department
Four Gateway Center
444 Liberty Avenue, Suite 2100
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

Member Complaints and Appeals:
Gateway HealthSM
Attn: Member Appeals Department
444 Liberty Avenue
Pittsburgh, PA 15222
Fax: 412-255-4503    

All other correspondence:
Gateway HealthSM
Four Gateway Center
444 Liberty Avenue, Suite 2100
Pittsburgh, PA 15222-1222

 

Gateway HealthSM offices are closed on the following holidays.  If an answering service is reached, please leave a message and your call will be returned as soon as possible.

 2014 Holiday Schedule
January 1 New Year’s Day
January 20 Martin Luther King, Jr. Day
May 26 Memorial Day
July 4 Independence Day (observed)
September 1 Labor Day
November 27 Thanksgiving Day
November 28 Day After Thanksgiving
December 24 Day Before Christmas (observed)
December 25 Christmas Day (observed)