Gainwell Technology
Introduction:
The Bureau for Medical Services fiscal agent is Gainwell Technology (formerly DXC Technology). Gainwell Technology will provide the following services to West Virginia Medicaid providers:
- Provider Relations
- Provider Enrollment
- Consumer Services
- Electronic Media Claims (EMC) Helpdesk
- Pharmacy Helpdesk
Features:
Gainwell's Web Portal allows providers to:
- Send/receive all HIPAA compliant claims
- Check claims status
- Download Electronic Remittance Advices (ERAs)
- Receive valuable billing information
- AVRS - Automated Voice Response System:
- AVRS is a 24x7 service which allows providers and pharmacies to access the following information:
- Provider Payments
- Member Eligibility
- Claim Status
Provider Database Updates:
Gainwell must have a copy of your current license. If you have not sent, or any time your license is renewed, please mail a copy of your current license and W-9 to:
Gainwell Technology
PO Box 625
Charleston, WV 25322-0625
Providers wanting to participate with West Virginia's Medicaid, West Virginia Children's Health Insurance Program (WVCHIP), or any of West Virginia 's Managed Care Organizations (MCOs), contact Provider Services Enrollment Unit 888-483-0793 or 304-348-3360.
Contact Information
| Member Services |
888-483-0797
304-348-3365 |
Monday - Friday
8:00 am until 7:00 pm |
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| Provider Services |
888-483-0793
304-348-3360 |
Monday - Friday
8:00 am until 7:00 pm |
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| Pharmacy Help Desk |
888-483-0801 |
Monday - Friday
8:00 am until 7:00 pm
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Access AVRS using same phone numbers - 24 hours a day, seven days a week
Mailing Addresses - Claim Forms Mailing Address
PO Box 3765, Charleston WV 25337 NCPDP UCF Pharmacy
PO Box 3766, Charleston WV 25337 UB04
PO Box 3767, Charleston WV 25337 CMS-1500
PO Box 3768, Charleston WV 25337 ADA-2006 Dental
PO Box 2254, Charleston WV 25328-2254 Hysterectomy and Sterilization Forms
Member Services Mailing Address
PO Box 2002, Charleston WV 25327-2002 Provider Relations, Member Services
PO Box 625, Charleston WV 25322-0625 Enrollment & EDI Help Desk
Information Requests:
For questions regarding EDI Agreements, TPAs, and/or electronic billing please click here edihelpdesk@molinahealthcare.com
For general information regarding Gainwell, please click here wvmmis@molinahealthcare.com
To view a list of West Virginia Medicaid Provider Sanctioned/Exclusion, please click here.
To view Gainwell Companion Guides, please click here.
To Register as a GainwellTrading Partner, please click here.