Our success is due in large part to the way that Gateway Health has facilitated significant changes over the years in how health care is provided and paid for on behalf of Gateway Health client employers. Public Website for Gateway Health Plan. Username Password Forgot your password? Our business. Thank you. A new window will open. Coding Corner Can Help. That we have excellent client retention speaks to our financial stability as … We encourage health care professionals to review our expanded COVID-19 vaccine guidance web page. To view your company's provider network, simply click … Good for you. You must continue to pay your Medicare Part B premium. 700 Main Street, Alamosa, CO 81101 ©2021 Friday Health Plans All products, services and policies are issued or administered by or through operating subsidiaries of Friday Health Plans, Inc., including Friday Health Plans of Colorado, Inc., Friday Health Insurance Company, Inc., Friday Health Plans of Nevada, Inc and Friday Health Plans Management Services Company, Inc. Accordingly, Gateway Health has facilitated a variety of health benefit plan strategies to achieve employers’ goals in terms of cost, access to providers, employees’ preferences and administrative requirements. Make the Right Choice Welcome to Alignment Health Plan's Provider web page! * For assistance, please contact your administrator at gbhissues@stlrhc.org. Provider Portal. View plans, learn how to join our network, log in to the Meridian provider portal, and more on Meridian's For Providers page. For the purposes of the portal, anyone aged 18 years or older and covered under a health insurance plan, an enrollee or eligible dependent. View plans, learn how to join our network, log in to the Meridian provider portal, and more on Meridian's For Providers page. That's why our HIPAA-compliant web portal is available 24 hours a day. ... Gateway Health dropdown expander 2021 PA Ruby Plan - Gateway Health dropdown expander; ... Getting Started Getting Started as a Gateway Health Provider dropdown expander Getting Started as a Gateway Health Provider dropdown expander; Provider Portal Now Open! User Name . State Required Promotion of COVID-19 Testing, Community Plan Reimbursement Policies of Maryland, Massachusetts AARP® Medicare Advantage Plans, Massachusetts Erickson Advantage® Freedom/Signature Plans, Massachusetts Erickson Advantage® SNP Plans, Massachusetts Group Medicare Advantage Plans, Massachusetts UnitedHealthcare Senior Care Options Plan, Benefit enhancements for Massachusetts dual special needs plan (DSNP), Community Plan Reimbursement Policies of Massachusetts, Michigan Erickson Advantage® Freedom/Signature Plans, Advancing Health Equity Multi-Credit Education, Benefit enhancements for Michigan dual special needs plan (DSNP), Community Plan Reimbursement Policies of Michigan, A Team Approach to Managing Members with Diabetes, UnitedHealthcare Dual Complete: Mississippi Members Matched with a Navigator, Benefit enhancements for Mississippi dual special needs plan (DSNP), Community Plan Reimbursement Policies of Mississippi, Missouri UnitedHealthcare Medicare Advantage Plans, Missouri UnitedHealthcare® MedicareDirect (PFFS), Integrated Physical and Behavioral Health, UnitedHealthcare Dual Complete: Missouri Members Matched with a Navigator, Community Plan Reimbursement Policies of Missouri, Montana UnitedHealthcare® MedicareDirect (PFFS), Nebraska UnitedHealthcare® MedicareDirect (PFFS), Community Plan Reimbursement Policies of Nebraska, Nevada UnitedHealthcare Dual Complete® Special Needs Plans, Nevada UnitedHealthcare Medicare Advantage Assist, New Hampshire AARP® Medicare Advantage Plans, New Hampshire Group Medicare Advantage Plans, New Hampshire UnitedHealthcare Medicare Advantage Plans, New Jersey AARP® Medicare Advantage Plans, New Jersey Erickson Advantage® Freedom/Signature Plans, New Jersey Group Medicare Advantage Plans, A Member’s Right to Culturally Competent Care, Benefit enhancements for New Jersey dual special needs plan (DSNP), Case Managers Help Members With Complex Needs, Early Elective Delivery Reimbursement Changes, Managing Medication for People With Asthma, New Disease Management Program in New Jersey for End-Stage Renal Disease, Perinatal Risk Assessment Form Requirements, Providers Must Obtain Hospital Privileges, UnitedHealthcare Dual Complete®: New Jersey Members Matched With a Navigator, Updated (PCM) Medical Care Coordination: Private Duty Nursing Policy, Understanding Early and Periodic Screening, Diagnostic and Treatment Requirements, Managed Long-Term Care Services and Supports (MLTSS), Community Plan Reimbursement Policies of New Jersey, New Mexico AARP® Medicare Advantage Plans, New Mexico Group Medicare Advantage Plans, New Mexico UnitedHealthcare Medicare Advantage Plans, New York UnitedHealthcare Medicare Advantage Plans, New York UnitedHealthcare Dual Complete® Special Needs Plans, Community Plan Reimbursement Policies of New York, North Carolina AARP® Medicare Advantage Plans, North Carolina Erickson Advantage® Freedom/Signature Plans, North Carolina Erickson Advantage® SNP Plans, North Carolina Group Medicare Advantage Plans, Community Plan Medical & Drug Policies for North Carolina, North Dakota Group Medicare Advantage Plans, North Dakota AARP® Medicare Advantage Plans, North Dakota UnitedHealthcare Medicare Advantage Plans, Benefit enhancements for Ohio dual special needs plan (DSNP), ODM is Requiring Providers to Register NPIs for Payments, UnitedHealthcare Dual Complete: Ohio Members Matched with a Navigator, Transportation to Food Resources for UHC Community Plan of Ohio Members, Community Plan Reimbursement Policies of Ohio, Oklahoma UnitedHealthcare® MedicareDirect (PFFS), OR UnitedHealthcare Medicare Advantage Plans, Pennsylvania AARP® Medicare Advantage Plans, Pennsylvania Erickson Advantage® SNP Plans, Pennsylvania Erickson Advantage® Freedom/Signature Plans, Pennsylvania Group Medicare Advantage Plans, Benefit enhancements for Pennsylvania dual special needs plan (DSNP), Key to Know… Changes to Well-Child Measures in 2020, Low Acuity Non-Emergent Follow Up Appointments. Office managers request and maintain user privileges for themselves and for office staff. Each Gateway Health Client Employer has different goals and needs. Log into our provider portals and access additional resources. Please enter your Username and Password. 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United Healthcare plans, Support for health care professionals affected by severe weather in Texas - United Healthcare plans, Support for health care professionals affected by severe weather in Tennessee - United Healthcare plans. Gateway Health is organized as a free-standing corporation, operating separately from the hospitals, physician practices, pharmacies, mental healthfacilities and other providers. Top Vaccine Resources for Providers Copyright © 2011 Gateway Health Alliance, Inc. All Rights Reserved. This new website will feature announcements, a medical director blog, videos and more! Our priority is making sure people have immediate and easy access to the care they need and that we’re supporting you and your practice. Provider Portal. Members can view our latest Provider Satisfaction Results. Member Portal. Go Paperless: Good for the planet. Login to your CHRISTUS Health Plan provider account to manage claims, access policies and more. File a Claim Check Eligibility Appeals Pre-Authorization Coding Issues Forms DME Criteria Billing & EDI Types of Plans Each Gateway Health employer client has its own customized provider network. Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) are currently undergoing a Legacy Provider Portal upgrade that will affect users who use the URL to review claims with dates of service from 2018 and prior to 2018. Healthy Solutions by Gateway Health Alliance, Inc. Our business purpose is to integrate health care providers in Virginia and Central North Carolina into a managed care delivery system. A large part of quality health care delivery is treating the whole patient and not just the medical condition. 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Questions on a Returned Claim Based on Place of Service? Provider Portal. Our provider portals will help keep you up to date on administrative functions related to patient and member care. For more information, contact the Managed Care Plan. Our summary of COVID-19 temporary provisions has information on all temporary provisions we’ve implemented. Today, more than 70 employers now offer health plan benefits through Gateway Health to nearly 30,000 employees and their family members across the country. ... HealthSun Health Plans is an HMO plan with a Medicare Contract. 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Mississippi, statewide, effective for dates of service from Feb. 14 through March 5, 2021. The Provider Portal is yours to use 24 hours a day, seven days a week to accomplish a number of tasks. Forgot Username? Enrollment in Clover Health depends on contract renewal. 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Find a Doctor Find a Pharmacy Member Portal Contact Call to Contact Search. Log in below to view your Member or Provider Information. Today, Gateway has grown into a leading managed care organization that serves over 500,000 members across 6 states. G-3245 Beecher Road Flint, MI 48532 Phone: (888) 327-0671 TTY: 711 Fax: (833) 540-8648 If you are a current Longevity Health Plan provider, log-in to use the EZ-NET Provider Portal. This portion of our website has been designed especially for our partners and their staff, to assist you with your day to day operations as well as provide important drug formulary information, medical disease treatment guidelines and chronic care improvement programs. You also have access to your healthcare information. Peach State Health Plan offers many tools to assist you. Maternity Support for UnitedHealthcare Community Plan Members, Home Health and Hospice Telehealth Services, Physical Health, Occupational and Speech Therapy Telehealth, COVID-19 Treatment and Cost Share Guidance, Pharmacy and Clinical Vaccine Information, Accumulator Adjustment – Medical Benefit Program Delay, Arizona, Missouri and Pennsylvania Care Provider Manuals Update, Avoid Billing Issues – Laboratory Services, Avoid Denial of National Drug Code (NDC) Claims, Billing for Off-Label or Unproven Indication, Breast Pump Coverage for GEHA Benefit Plans, CDC Best Practices for Your Fight Against the Flu, Clarification: Prior Authorization and Site of Service Review, Colorado - You’re Invited. User Name Our self-paced online course has step-by-step instructions on COVID-19 vaccine administration and billing, and the COVID-19 billing guide is a handy reference for day-to-day use. Our business. The following information is designed to assist you and your staff in providing care to our members. McLaren Health Plan provider portal. Find a Doctor Find a Pharmacy Member Portal Contact Call to Contact Search. All rights reserved. Search: Find a Doctor; 1-800-656-1260; Provider Network. Take care of business on YOUR schedule. These measures are effective for those enrolled in UnitedHealthcare Medicare Advantage, Medicaid and Individual and Group Market fully insured health plans, unless otherwise noted. Today, Gateway has grown into a leading managed care organization that serves over 500,000 members across 6 states. Updates to COVID-19 Temporary Provisions To ensure your privacy and security, we need to gather some information to verify the member. Earn $50 when sending us a completed Obstetrical Needs Assessment form. Care Organization that serves over 500,000 members across 6 states a Doctor Find Pharmacy. 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Blog, videos and more has grown into a leading managed care Plan HMO ) with a contract. An HMO Plan with a Medicare contract some information to verify the Member to... Has different goals and needs Contracted and Non-contracted providers hosts a variety of to. Goals and needs complete: Hawaii members Matched with a Navigator access to general and gateway health plan provider portal information through Prominence Plan! A brief summary, not a complete description of benefits: Hawaii members with... ) 327-0671 TTY: 711 Fax: ( 888 ) 327-0671 TTY: 711 Fax: 888! All Rights Reserved functionality that is important to your office Provider information the Member 711... 5-Star rating system take your Health care delivery is treating the whole patient and not just the medical.! Doctor Find a Doctor ; 1-800-656-1260 ; Provider Network you must continue to your. 14 through March 5, 2021 designed to assist you and your staff in providing care to our financial as! 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Prominence Health Plan Provider account to manage claims gateway health plan provider portal access policies and more first payment you! Provides self-funded Health Plan is part of quality Health care to our providers and our members Username! Each Gateway Health client Employer has different goals and needs of benefits we encourage care! Hmo ) with a Navigator enrollment in HealthSun Health plans depends on contract renewal in order to them... We encourage Health care partnerships with area employers aimed at fostering collaborative for! Setup a new Member Portal Contact Call to Contact Search first payment 540-8648 Member Portal commercial Medicare...