July 2014
IMPORTANT ANNOUNCEMENT!
NEW LOCKBOX FOR SUBMISSION OF REFUNDS
Effective immediately Gateway has implemented the use of Lockbox Services for
providers to submit refunds for PA Medicaid and Medicare AssuredSM
overpayments.
Gateway cannot accept verbal requests to retract claim(s) overpayments.
Providers may complete and submit a Refund Form or a letter that contains all of
the information requested on this form. This form has been recently updated and
is included with this Provider Update and available in the Form and Reference
Material section under Providers on our website.
This form, together with all supporting materials relevant to the claim(s) reversal
request being made including but not limited to EOB from other insurance carriers
and your refund check should be mailed to:
PNC BANK
c/o GATEWAY HEALTH PAYMENTS/REFUNDS
Lock Box #645171
500 1st Avenue
Pittsburgh, PA 15219
If you have questions regarding this Provider Update please contact Gateway’s
Customer Service Department at 1-800-392-1145, Monday through Friday
between 8:00 am and 4:30 pm or you may contact your Provider Relations
Representative directly.
Provider Relations Department
Gateway HealthSM