Health Plan

Centauri’s technology solutions and systems are recognized among the best in the industry – trusted by 8 of the top 10 Medicaid plans and 5 of the top 10 Medicare Advantage plans. Our operating system, Centauri Advance®, is purpose-built to assist health plans navigate complex government-sponsored healthcare programs.

We provide clients the exact type of support needed to solve their problems:

•   Risk Adjustment including Medical Record Retrieval and Medical Record Coding

•   HEDIS® / Quality Program Management   •   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

As 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.