Centauri's Out-of-State (OOS) Medicaid service is a comprehensive solution for healthcare providers managing Medicaid claims across state boundaries. With over two decades of experience, Centauri offers unparalleled expertise in Medicaid and Medicaid Managed Care Plans, managing nearly $2 billion in claims annually. The service streamlines the complex process of OOS Medicaid billing, eligibility verification, and claims management, reducing strain on healthcare providers' resources.

Key Features

Eligibility Verification 24/7 online patient eligibility verification

• Provides accurate results from online submissions
• Advises on authorization requirements

Claims Processing Efficient handling of out-of-state Medicaid claims

• Accepts various claim formats (electronic, paper)
• Bills claims within one business day of receipt

Appeals Management Comprehensive appeals handling

• Files appeals on behalf of clients when necessary
• Follows up on appeal status

Benefits

Expertise in State-Specific Medicaid Rules Reduces complexity for healthcare providers

• Manages nuances of each state's Medicaid program
• Keeps up-to-date with program changes

Maximized Recovery Improves financial outcomes for healthcare providers

• Explores all avenues for maximum recovery
• Efficiently collects Out-of-State Medicaid claims

Resource Optimization Alleviates strain on healthcare providers' teams

• Manages complex billing processes
• Provides 24/7 access to reports and eligibility verification