Gainwell Technology

Gainwell Technology

Introduction:

• 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

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 and EDI Help Desk 

Information Requests:

For questions regarding EDI Agreements, TPAs, and/or electronic billing please click here edihelpdesk@gainwelltechnologies.com.

For general information regarding Gainwell, please click here wvmmis@gainwelltechnologies.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.