Eligibility & Enrollment
Centauri is a 35-year leader in government program eligibility and enrollment solutions – with proven expertise in Medicaid, subsidized qualified health plans, charity care and federal disability income programs. We reach out to patients on behalf of healthcare systems in an effort to assist them in obtaining healthcare benefits.
Additionally, we go a step further by helping patients and their families determine non-healthcare benefits available to them. Through a complex proprietary software based screening system, we are able to 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 through our customized solutions that while providing life-enhancing benefits for their patients.
Our EES team manages 750,000 claims and nearly $3 billion in charges annually.
We tailor our approach to each client’s workflow/financial counseling processes and strategic goals. You can trust our experienced specialists to be an onsite or offsite extension of your team.
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. That means screening patients at their bedsides, in their homes or at another location of their choice, then conducting ongoing check-ins to 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 including working with the homeless.
Our proprietary cloud-based software solution effectively screens 100% of client self-pay patients for multiple-payer programs.
We screen and process through to final disposition – powered by a rules-based program eligibility calculator and processing logic – and a pre-mapped library of applications and forms.
Our system and proven best practices allow us to more efficiently and successfully process accounts – transforming them into revenue for you.