Member Benefits
Identify eligibility.
Support approval.
Strengthen outcomes.
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500+
Health systems connected
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60M
People served nationwide
Overview
Find eligibility sooner. Guide members through approval.
Centauri helps health plans identify members likely to qualify for SSI, SSDI, and dual-eligible benefits—then supports them through the steps needed to access and retain those benefits.
By combining predictive analytics, compassionate outreach, and ongoing member health event monitoring, we help plans focus on the right members, act at the right time, and improve both member stability and plan performance.
The Core Challenge
From identification to approval.
Predictive modeling and dedicated advocacy, working together across the member journey to coverage.
Uncover hidden eligibility. Centauri applies proprietary predictive models across claims, member, and pharmacy data to identify members and dependents who may qualify for additional benefits.
Our targeting helps plans prioritize members most likely to need support, reducing unnecessary outreach while surfacing high-value opportunities earlier. For Dual Eligibility, Centauri’s model identifies nearly 99% of duals within the top five deciles of the non-dual population and analyzes partial dual members who may qualify for full dual status.
Guide members from outreach to approval. Centauri advocates work directly with members through screening, application support, representation, and appeals—helping them navigate a process that can often feel confusing or overwhelming.
This combination of analytics and hands-on support improves the member experience, increases approval rates, and helps members access benefits that can reduce financial strain and support better continuity of care.
Engage members when support matters most. Eligibility and benefit needs often change around key health events. Centauri monitors member activity in real time, including admissions, discharges, transfers, and other high-risk encounters across hospitals and care settings nationwide.
These notifications help care teams intervene earlier, support transitions of care, reduce avoidable readmissions, and maintain continuity for members who may be at risk of coverage or care gaps. Alerts can also be routed directly into existing care management workflows, case management tools, and downstream systems—with no portal login required.
Connect members to resources beyond benefits. Member stability depends on more than benefit eligibility. Through Social Service+, Centauri helps assess members’ social needs, identify local, state, federal, and community resources, and support members as they connect to services.
Based on individual needs, members may be referred to resources such as food pantries, home-delivered meals, senior case management agencies, subsidized transportation, and other community support programs.
Deliver financial stability for members, plans, and MCOs to align performance. Successful enrollment provides members with ongoing income through SSI and SSDI, improving stability and access to care.
Members may also access additional support through Social Service+, addressing needs such as housing, food, and transportation.
Frequently Asked Questions
Browse our FAQs to find answers to common questions and learn more about our services.
Healthcare Intelligence
Built to identify, support, and convert at scale.
- Predictive models aligned to Social Security eligibility criteria. Predictive Modeling
- Targeted identification of high-probability candidates. Targeting
- End-to-end advocacy from screening through appeals. Advocacy
- Improved approval rates through combined data and human support. Conversion
- Reduced administrative burden for plan teams. Efficiency
- Scales across large Medicaid populations. Scale