GAINWELL PROVIDER+

Owners

Goods & Services

Fiscal agent and management services to operate business financial and financial analytics functions on behalf of Medicaid and other health and human services programs, namely, processing and payment processing of healthcare provider insurance claims, facilitating prior authorization of insurance coverage for medical procedures, management and documentation of pharmacy benefits, health program insurance eligibility screening and processing services, and administration of insurance programs, namely, enrollment and onboarding services for eligible members and recipients

Business consulting for healthcare providers concerning screening, enrollment, credentialing, and verifying healthcare provider claims