Health Plan

Centauri Health Solutions brings decades of knowledge and experience to payors and providers. Our health plan solutions offer clients support through sophisticated analytics which helps to ensure our clients receive accurate reimbursements and that their members realize quality-of-life improvements.

We provide clients the support they need to solve their problems:

•   Risk Adjustment Submissions   •  Medical Record Retrieval and Coding  •   HEDIS® / Quality Program Management
•   Dual Eligibility and Enrollment  •   Disability Eligibility and Enrollment •   Social Determinants of Health Resources   •   Healthcare Data Analytics

HITRUST® Certification

You can trust our team and technology to provide the secure customized solution you need. As proof of our commitment and ability to safeguard your members’ PHI, we have earned HITRUST Certification for our Medicare Advantage and Medicaid plan enrollment programs.

Risk Adjustment

Retrospective and Prospective Risk Adjustment programs, including Medical Record Retrieval and Medical Record Coding, are fueled by our Centauri Advance operating system.

Quality

Centauri's HEDIS® program is among a select few in the nation certified by NCQA® since 2006.

Eligibility and Enrollment

Centauri is the nation’s SSI/SSDI Eligibility and Enrollment leader for Medicaid Managed Care Plans and their members. We optimize revenue for clients and prioritize the correct combination of services for plan members.