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Quality in Pharmacy Networks

Gateway provides the services and management of national retail pharmacy networks at competitive rates via a 100% pass-through model. Our comprehensive networks include all major chains and have over 63,000 retail pharmacies.

providerrelations@gateway-networks.com

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Info

Electronic Media

Gateway offers remittance claims data by Secure File Transfer Protocol (SFTP)

How to

Report lost payment

Call the Gateway Reconciliation Help Desk (888) 613-1365, Ext 3. This line is open 8:00 a.m. to 3:30 p.m. (CST), Monday through Friday. You can also email your question to customerservice@gateway-networks.com.

Report missing EFT/check

Call the Gateway Reconciliation Help Desk (888) 613-1365, Ext 3. This line is open 8:00 a.m. to 3:30 p.m. (CST), Monday through Friday. You can also email your question to customerservice@gateway-networks.com.

Report payment not paid on 835

Call the Gateway Reconciliation Help Desk (888) 613-1365, Ext 3. This line is open 8:00 a.m. to 3:30 p.m. (CST), Monday through Friday. You can also email your question to customerservice@gateway-networks.com.

Establish, change or delete (cancel) an 835

Call the Gateway Reconciliation Help Desk (888) 613-1365, Ext 3. This line is open 8:00 a.m. to 3:30 p.m. (CST), Monday through Friday. You can also email your question to customerservice@gateway-networks.com.

Change to existing 835 files or cancel 835 files

Email your pharmacy name, NCPDP or NPI and contact information including name and phone number to customerservice@gateway-networks.com.

Reposting of a previous 835 file

If you have not received your 835 or need it reposted- please email your pharmacy name, NCPDP or NPI and contact information-including name and phone number to customerservice@gateway-networks.com. There may be a charge associated with this

Inquiries on status of 835 or EFT

Please email your pharmacy name, NCPDP or NPI and contact information including name and phone number to customerservice@gateway-networks.com.

Authorization for EFT and/or 835 (if other than the pharmacy)

An authorization form must be received from a third party acknowledging PHARMACY's approval to release paid claims data history.

Resolving Late/Missing EFT

After four business days, if either the EFT or payment cannot be found, please send email to customerservice@gateway-networks.com. Provide EFT/Check number, dollar amount and date along with contact information (pharmacy name, NCPDP or NPI and contact information-including name and phone number )

Resolving Late/Missing 835 Transactions

After four business days, if either the EFT or payment cannot be found, please send email to customerservice@gateway-networks.com. Provide EFT/Check number, dollar amount and date along with contact information (pharmacy name, NCPDP or NPI and contact information-including name and phone number ).

Enter an independent pharmacy

Utilize the Gateway landing page and enter required fields. If you have questions - Call the Gateway Reconciliation Help Desk (888) 613-1365, Ext 3. This line is open 8:00 a.m. to 3:30 p.m. (CST), Monday through Friday. You can also email your question to customerservice@gateway-networks.com

Gateway Specialty Drug List

View the Gateway Specialty Drug List

Annual Medication Errors Safety Log

Click here to access the form

Medication Error Incident Report

Click here to access the form

Contract Request Form

Click here to access the form

Pharmacy Mac Price Inquiry Form

Click here to access the form

Authorization agreement for auto deposit and/or 835 remittance

Click here to see/download the file

Notes

  • Electronic remittance options do NOT change the dates for funding currently received from the health plans.
  • Charges for setup and maintenance will be determined and updated by Gateway.
  • Reports and Files are stored via FTP for 30 days with unlimited access. After 30 days, reports are archived automatically. If you require access to remittance claims files after they have been archived, charges and timeframes will be determined by Gateway.
  • It is important to download and save each file to your PC. Early review of the files will help assure successful downloads, identify possible problems, and eliminate charges.
  • If you would like to receive your reports electronically, please click here to access and complete the request form

providerrelations@gateway-networks.com

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Request

Pharmacy/Chain

Contact

Approximately 31 days after implementation of the 835, your paper remittance will be discontinued

providerrelations@gateway-networks.com

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Contact

Gateway Pharmacy Networks is the contracting entity for Citizens Rx.
The Gateway Provider Relations department has dedicated staff to assist pharmacies with processing questions or any other type of issues.
Our representatives are available 24 hours a day, 7 days a week.

Please direct any questions regarding contracting, credentialing, payments/remittance, MAC and audit to the following:

Gateway Pharmacy Email address: providerrelations@gateway-networks.com

Gateway Pharmacy Network FAX number: 937.755.1431

Citizen’s Rx Pharmacy Help Desk: 888.316.6510

Citizen’s Rx FAX number: 888.556.7482

providerrelations@gateway-networks.com

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providerrelations@gateway-networks.com