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Gateway Health Plan Medicare Ohio Assured

Part of Gateway Health Plan

Medicaid managed caremedical
Typical enrollment turnaround
60-90 days

Summary

Gateway Health Plan Medicare Ohio Assured is a Medicaid managed care organization, part of Gateway Health Plan, offering medical coverage operating in Pennsylvania. Claims route under payer ID 91741. Provider enrollment typically takes 60-90 days, with applications through Gateway Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
91741
Uses CAQH
YesApplication route: Payer portal application
Service area
PA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Gateway Health Plan Medicare Ohio Assured?
The payer ID for Gateway Health Plan Medicare Ohio Assured is 91741.
How long does Gateway Health Plan Medicare Ohio Assured provider enrollment take?
Gateway Health Plan Medicare Ohio Assured provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Gateway Health Plan Medicare Ohio Assured require CAQH?
Yes. Gateway Health Plan Medicare Ohio Assured uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Gateway Health Plan Medicare Ohio Assured require ERA enrollment?
Yes. Gateway Health Plan Medicare Ohio Assured requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Gateway Health Plan Medicare Ohio Assured cover?
Gateway Health Plan Medicare Ohio Assured operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.