The following Gainwell file layouts, critical for managed care entity (MCE) business, are arranged by type:
Managed Care
- Prior Authorization Line-Item Data for HCC MCEs (9/21/2022)
- Prior Authorization Claim Cross-Reference Data for HCC MCEs (9/21/2022)
- Prior Authorization Header-Level Data for HCC MCEs (9/21/2022)
- DSNP MCE Daily Eligibility Interface - 01/20/2021
- HIP PRF Reconciliation Initial Final Interface – 4/18/23
- DDI HP to Various Medicare File - 11/12/2015
- DDI HP to Various Provisional Eligibility File - 2/1/2016
- DDI HP to Various TPL File - 3/10/2016
- DDI HP to MCE Member Assignment Response File - 6/10/2014
- DDI MCE to HP Member Assignment File - 6/10/2014
- DDI MCE to HP HIP Payment layout - 3/10/2016
- DDI Gainwell to MCE HIP Payment Response File - 1/2/2024
- MCE to DXC NOP Risk File - 2/25/2019
- DDI HP to Various PMP History File - 10/1/2015
- DDI HP to Various NOP File - 11/10/2015
- HPB Provider File to MCEs - 10/27/2015
- DDI MCE to HP HIP Application Payment File - 2/1/2016
- DDI HP to MCE HIP Supplemental Response File - 2/1/2016
- DDI HP to MCEs Conditionals Over 75 Days File - 2/1/2016
- DDI Gainwell HIP to MCE Application Payment Response File - 1/2/2024
- DDI MCE to DXC HIP Supplemental File - 8/10/2017
- Supplemental File Instructions - 2/1/2018
Provider Services
- Taxonomy Tables and Related Columns - 4/16/2019
- DDI HP to Various Provider Address Layout - 6/16/2015
- DDI HP to Various Provider Group Layout - 6/16/2015
- DDI HP to Various Provider Revalidation Layout - 6/16/2015
- DDI HP to Various Provider UPIN Layout - 6/16/2015
- DDI HP to Various Provider BaseID Xref file - 8/27/2015
- DDI HP to Various Provider Eligibility Layout - 2/1/2016
- DDI HP to Various Provider Tax ID Layout - 9/3/2015
- DDI HP to Various Provider NPI Crosswalk Layout - 10/8/2015
- DDI HP to Various Provider Specialty Layout - 9/24/2015
- DDI HP to Various Provider QP Eligibility Layout - 2/1/2016
- DDI HP to Various Provider NPI Stub Layout - 8/30/2016
- DDI HP to Various Provider PROV Stub Layout - 8/30/2016