Skip to Main Content

Join the Gateway Provider Network

Payment Policies

All Gateway Products Payment Policies:
Apr 2015	Hot and Cold Packs- Payment Policy

Medicare Payment Policies:
JULY 2016	Facility Emergency Department Payment Policy
FEB 2016	Cataract Removal Reimbursement Policy -Cataract Removal Questionnaire
DEC 2015	Readmission for DRG Based Providers- Payment Policy

PA Medicaid Payment Policies:
SEPT 2017	Medicaid Revised Observation Policy Notice for October 15, 2017 Effective Date
SEPT 2017	Maximum Units of Service - Claims Payment Policy
JULY 2016	Durable Medical Equipment (DME) – Maximum Units of Service - Payment Policy
APR 2016	Medical Policy - Oncotype DX
NOV 2015	Observation Frequently Asked Questions
SEPT 2015	Remicade- Medical Pharmacy Prior Authorization Policy
JULY 2015	Facility Emergency Department Payment Policy
JUNE 2015	Intravenous Immunoglobulin (IVIG)- Medical Pharmacy Prior Authorization Policy
JUNE 2015	Durable Medical Equipment (DME) - Medical Prior Authorization Policy
MAY 2015	Inpatient vs Observation- Payment Policy -Revised Observation Policy Notice for October 15, 2017 Effective Date

Forms require the Adobe Acrobat Reader installed on your system. Most computers have this program installed. If it is not installed on your computer, you can download it for free from Adobe.