Gainwell Technologies 2025 Payment Schedule We are a strategic partner and solution provider serving agencies health plans and MCOs with next generation technologies that improve health outcomes and ensure an intuitive human centered experience
3 16 2025 Three 2 year renewals 3 16 2031 Edifecs Technical Service and Maintenance of currently licensed Edifecs products 5 13 2021 5 12 2025 Four 1 year renewals 5 12 2029 The claims processor for the CLTS Program will transition from TPA Wisconsin Physicians Service WPS to fiscal agent Gainwell Technologies LLC GWT The anticipated date of this transition is May 5 2025
Gainwell Technologies 2025 Payment Schedule
Gainwell Technologies 2025 Payment Schedule
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Our Managed Care solution helps you track members MCO enrollment as they transition across different plans improve capitation payment forecasting and payment processing It s a seamless end to end administrative solution for your Managed Care Program This page provides detailed information for each of these resources such as assistance center phone numbers and Gainwell Technologies claims and correspondence mailing addresses This page also provides DSS contact information schedule information and
Submitters who do not submit the required form will be deactivated February 1 2025 Providers should verify with their submitter that this requirement has been met to ensure no delays in claims payment Gainwell is responsible for ensuring accurate and timely payment to providers and processing provider claim disputes and appeals Gainwell also collects member premiums for the M E D Works and Hoosier Healthwise Package C Children s Health Insurance Program
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Gainwell Technologies are publishing the Connecticut Medical Assistance Program s Electronic Claims Submission Remittance Advice RA Check and Electronic Funds Transfer EFT issue dates and 835 schedule for the benefit of the provider community EFTs are generated or checks are mailed to providers who have paid claim activity in the The claims processor for the CLTS Program will transition from third party administrator TPA Wisconsin Physicians Service WPS to fiscal agent Gainwell Technologies LLC GWT The anticipated date of this transition is May 5 2025
On September 6 2022 the California Department of Health Care Services DHCS announced plans to award a 340 million contract for population health management PHM services to Gainwell Technologies as part of the state s California Advancing and Innovating Medi Cal CalAIM initiative A major part of Gainwell s process is importing all claims and capitation data into our Financials module ensuring that information is accurate and up to date
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We are a strategic partner and solution provider serving agencies health plans and MCOs with next generation technologies that improve health outcomes and ensure an intuitive human centered experience
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3 16 2025 Three 2 year renewals 3 16 2031 Edifecs Technical Service and Maintenance of currently licensed Edifecs products 5 13 2021 5 12 2025 Four 1 year renewals 5 12 2029
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Gainwell Technologies 2025 Payment Schedule - This page provides detailed information for each of these resources such as assistance center phone numbers and Gainwell Technologies claims and correspondence mailing addresses This page also provides DSS contact information schedule information and
