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Other Requestors

For Help With… Your Solution
  • Requesting Member Eligibility Data Match information

Submit an online Eligibility Data Match Request form.

  • Eligibility
  • Verifying Benefits or Claims
  • Status of Benefits
  • Prior Authorization

Call Gainwell Technologies for assistance at: 1-800-884-3222.  

You can access the Voice Response Quick Reference guide here.  

Or visit your Mesa Provider Portal, here. 

  • Contacting partnered Coordinated Care Organization (CCO) Medicaid benefit administrators

Visit online or call for assistance at:  

Requesting claims or lien information 

Submit a Subrogation Request Form

Providing other insurance coverage (Third-Party) information  Submit an Insurance Update Form 
Finding Medicaid procurement bids and requests procedures  Visit our Procurement page 
Additional information for contact and guidelines  Visit our Provider Resources page or Late Break News for the latest updates.