Gateway Health Plan Provider Updates

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Highmark acquires full ownership of Gateway Health

(8 days ago) WEBPITTSBURGH (September 7, 2021) — Highmark announced today it has closed on its transaction to acquire full ownership of Gateway Health Plan, Inc. (Gateway Health), a …

https://www.highmark.com/newsroom/press-releases/9-7-2021-highmark-acquires-full-ownership-of-gateway-health

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Highmark seeks to buy Gateway Health; deal looks to …

(1 days ago) WEBHighmark Health’s insurance arm looks to grow by more than 350,000 members if state regulators approve a proposed deal to acquire sole ownership of Gateway Health. The acquisition instantly

https://triblive.com/local/regional/highmark-seeks-to-own-100-of-gateway-health-deal-looks-to-add-355k-insurance-members/

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Why Gateway Health is seeing Blue (Cross & Blue Shield)

(7 days ago) WEBWhen Highmark Health announced it had reached a deal with Trinity Health to take over complete ownership of Medicare/Medicaid insurance provider Gateway …

https://www.wpxi.com/news/top-stories/why-gateway-health-is-seeing-blue-cross-blue-shield/MIIXZ73STREWHD55HVZC3C5OXU/

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Highmark Health files to acquire remaining 50% stake in Gateway …

(3 days ago) WEBHighmark Health and Trinity Health have owned Gateway Health since its formation in 1992 when both had different names. Trinity Health is an $18.8 billion faith …

https://www.bizjournals.com/buffalo/news/2021/07/09/gateway-health-highmark-health-stake.html

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Gateway Health Announces Enhanced 2021 Dual-Special Needs …

(5 days ago) WEBCurrently, Gateway Health offers Medicare plans across 37 counties in Pennsylvania and is the chosen health plan for nearly one-third of eligible Pennsylvania …

https://www.prnewswire.com/news-releases/gateway-health-announces-enhanced-2021-dual-special-needs-medicare-plans-d-snp-and-market-expansion-301143984.html

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Notice of Practice/ Practitioner Changes

(2 days ago) WEB1-855-451-6680. *FQHC/RHC providers should submit their changes to [email protected]. Mail: Delivery Code: WC-PDM Provider …

https://content.highmarkprc.com/Files/Wholecare/Forms/Practice%20Change%20Request%20Form.pdf

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Gateway Provider Portal EBS - IGHCP

(6 days ago) WEBThe Gateway Provider Portal provides 24/7 access to comprehensive employee health plan information. Easily find information regarding: – Claim Status. – Patient Eligibility. – …

https://ighcp.com/ebs/providers/gateway-provider-portal/

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HIGHMARK WHOLECARE SELECTED BY PENNSYLVANIA TO CARE …

(3 days ago) WEBIn 2021, Highmark Health acquired full ownership of Gateway Health, after previously holding a 50% ownership interest. Gateway Health was established in 1992 …

https://www.prnewswire.com/news-releases/highmark-wholecare-selected-by-pennsylvania-to-care-for-states-most-vulnerable-citizens-301615819.html

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FQHC/RHC PPS Medicaid and Medicare Billing Effective …

(6 days ago) WEBcontracted under an Ancillary Services Agreement with the health plan. Encounter Definition1 Rates are charged for each Encounter. An eligible Encounter is defined as: …

https://content.highmarkprc.com/Files/Wholecare/FQHC_RHC/FQHC_RHC-Medicaid_Medicare-Billing-Guidelines.pdf

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Report Cards - NCQA

(Just Now) WEBSee Accreditation status and health plan rating for Gateway Health Plan, Inc. dba Highmark Wholecare on NCQA Report Cards. Last update: 03/15/2024 …

https://reportcards.ncqa.org/health-plan/Hp_2_1_001G000001uws31IAA_219

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Virtual Gateway Provider Users Mass.gov

(1 days ago) WEBThe Virtual Gateway provides management and reporting tools which allows the provider community to deliver client services more quickly and effectively. The Virtual Gateway …

https://www.mass.gov/virtual-gateway-provider-users

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Highmark Wholecare Medicare Dual Special Needs (D-SNP) 2022 …

(4 days ago) WEBFor the 2022 Annual Enrollment Period, Highmark Wholecare Blue Cross and/or Blue Shield Medicare D-SNP plans will be available in 12 additional counties …

https://www.prnewswire.com/news-releases/highmark-wholecare-medicare-dual-special-needs-d-snp-2022-health-plan-benefits-announced-301397047.html

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Provider Manual Gateway Health

(5 days ago) WEBPlease contact Medical Management at 434-799-0702, out of area 1-877-846-8930. A nurse reviewer will contact Gateway’s provider of respiratory equipment and oxygen with the …

https://usermanual.wiki/Document/ProviderManualGatewayHealth.1090271477.pdf

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Gateway Health – Live Well Allegheny

(5 days ago) WEBThat’s why Gateway offers a variety of health plan options for beneficiaries eligible for Medicaid or Medicare. Our large network provides access to top-notch physicians, …

https://livewellallegheny.com/gateway-health/

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Update Password - Highmark

(2 days ago) WEBThis is the Gateway Health Password Reset Portal. Your USERNAME must be in the format of GHP\Username, otherwise it will fail. Have you forgotten your password?

https://login.gatewayhealthplan.com/adfs/portal/updatepassword

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FACT SHEET: GATEWAY HEALTH - Pennsylvania Association of …

(Just Now) WEBGateway Health Plan is a part of HealthChoices Physical Health and has 16.8% market share across the state (NW, SW, and L/C regions.) It also has The platform has a …

http://www.p4a.org/wp-content/uploads/2016/06/Gateway-Health-Fact-Sheet-FINAL_07272016.pdf

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Utilizing the Provider Portal Search Tool

(9 days ago) WEBQuestions or Concerns. Should you have any questions or concerns regarding the Portal Search Tool, please contact Provider Services: Medicaid: 1-800-392-1147. …

https://content.highmarkprc.com/Files/Wholecare/Forms/UtilizeProviderPortalSearchTool.pdf

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Klobuchar Asks Regulators to Investigate MultiPlan Over Health …

(2 days ago) WEBOne provider reported slashed payments from UnitedHealthcare, Cigna and an Aetna subsidiary after the insurers routed claims to MultiPlan’s most aggressive …

https://www.nytimes.com/2024/05/01/us/multiplan-health-insurance-price-fixing.html

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