Eligibility & Enrollment

Centauri has been a leader in hospital eligibility and enrollment solutions for more than three decades. We have proven expertise in Medicaid, subsidized qualified health plans, charity care, and federal disability income programs. Our compassionate associates reach out to patients on behalf of hospitals and healthcare systems in an effort to assist them in obtaining healthcare benefits.

Additionally, we go a step further and help patients and their families determine non-healthcare benefits available to them. Using our proprietary software-based screening system, we determine potential benefits the patient and their family may be entitled to based on their household size, composition, and monthly income.

Through these services, we have been able to reduce patient charges by more than $2.9 billion while providing life-enhancing benefits to patients.

Our EES team manages 750,000 claims and nearly $3 billion in charges annually.

Tailored Support

We tailor our approach to each client’s workflow, financial counseling processes, and strategic goals. You can utilize our experienced specialists as an onsite or offsite extension of your team.

Patient Screening

Our associates work diligently to assist patients in applying for government medical assistance programs based on household income and composition criteria established by federal, state and local agencies. We screen patients at their bedsides, in their homes, or at another location of their choice.  Associates conduct ongoing check-ins and help them locate documents critical to supporting their application for healthcare coverage.

Field Services & Community Outreach

While the application process often starts while the patient is still in the hospital, many individuals are unable to complete the process and require some type of assistance post-discharge. We maintain a staff of skilled individuals who are responsible for working with patients and their families in all types of community settings. Additionally, we have experience working with homeless individuals.

Technology

Our proprietary, cloud-based software effectively screens 100% of client's self-pay patients for multiple payor programs.

We screen and process through to final disposition – powered by a rules-based program eligibility calculator with processing logic – and a pre-mapped library of applications and forms.

Our eligibility and enrollment system and proven best practices allow us to more efficiently and successfully process accounts. This translates into additional revenue for our clients.