Medicare Assured Member Contact Information
Email
Secure Email
Toll Free Numbers
Pennsylvania 1-800-685-5209
Ohio: 1-888-447-4505
Kentucky: 1-855-847-6380
North Carolina: 1-855-847-6430
TDD/TTY: 711
8:00 AM - 8:00 PM Eastern Time
7 Days a week from October 1 through March 31.
* From April 1 through September 30 our business hours are 8 a.m. - 8 p.m., Monday through Friday.
Mailing Addresses
Medical and Behavioral Health Claim Forms (PA Medicare Assured)
Gateway Health
Claims Processing Center
P.O. Box 830430
Birmingham, AL 35283-0430
Medical and Behavioral Health Claim Forms (KY, NC & OH Medicare Assured)
Gateway Health
Claims Processing Center
P.O. Box 830500
Birmingham, AL 35283-0500
Claims Inquiries and Administrative Reviews (Provider Disputes):
Gateway Health
Attention: Claims Review
444 Liberty Ave, Suite 2100
Pittsburgh, PA 15222
Clinical Provider Appeals:
Gateway Health
Attention: Provider Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222
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 Health
Attn: Member Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222
Fax: 412-255-4503
Fraud, Waste, and Abuse:
If you suspect Fraud, Waste, or Abuse please click here.