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Contact Information

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Medicaid Member Contact
Information

Email
Member Contact - PA Medicaid Only

Toll Free Numbers
Member and Provider Services 1-800-392-1147
Fraud and Compliance 1-800-685-5235
Family Health Council 1-800-532-9465
Health Choices 1-800-440-3989

TDD/TTY: 711

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

Claims Inquiries and Administrative Reviews (Provider Disputes):
Gateway Health
Attention: Claims Review
444 Liberty Ave, Suite 2100
Pittsburgh, PA 15222

Send us a request by fax to:
1. All Providers 1-844-207-0334

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

Medicare Assured Member Contact Information

Email
Secure Email
Website Contact Form

Toll Free Numbers
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

TDD/TTY: 711

8:00 AM - 8:00 PM Eastern Time
7 Days a week from October 1 through February 14.
* From February 15 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

General Contact Information

Email
General Contact Form
Secure Email

General Phone Number
412-255-4640

Mailing Address
Gateway Health
444 Liberty Ave, Suite 2100
Pittsburgh, PA 15222

If you are an Agent interested in selling Gateway Health Medicare Advantage products, please call Gateway Health Agent Support at 1-888-871-0417.

Holiday Schedule

Please be aware that the Gateway Health 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. 

  • New Year's Day 
  • Martin Luther King, Jr. Day 
  • Memorial Day
  • Independence Day (observed) 
  • Labor Day 
  • Thanksgiving Day 
  • Day After Thanksgiving 
  • Christmas Eve (observed) 
  • Christmas Day (observed)

Website Contact Form

Please contact us with any comments, questions or problems.

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