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Acentra Health
Advancing mission-critical programs throughout the healthcare delivery
ecosystem by utilizing industry-leading business services and rapid
deployment of cloud-based modular products and solutions.
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Advanced ProcessingSolutions
Clinical ServicesSolutions
Data AnalyticsSolutions
ProviderSolutions
Transforming the
Healthcare Experience
Acentra Health integrates cutting-edge technology to elevate quality of care for the priority populations we serve. We partner with our clients to overcome evolving program challenges through our innovative, configurable solutions and services.
Our cloud-based clinical solutions work across the healthcare continuum and support our clients’ mission of providing person centered care.
With our diverse team of clinicians, technologists, and program experts we work together to deliver greater value and impact across the healthcare ecosystem.
Advanced Processing Solutions
Acentra Health’s cloud-based adjudication module provides a comprehensive solution to handling
high volumes of claims and encounters with accuracy and precision. Our financial and reporting capabilities allow
better control and oversight for program receivables and payments. Built on our CMS-certified evoBrix X™ platform,
you can streamline your program's transactional operations, maintain compliance, and receive accurate data and real-time
analytics reporting to aid decision-making.
Claims & Encounters
The evoBrix X claims and encounters module streamlines administrative operations and reduces program operational inefficiencies. Deploy sophisticated automation workflows to reduce claims and encounter processing time and increase accuracy.
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Financial Management & Reporting
Manage program transactions from accounts payable and receivable for accurate record-keeping and state/federal reporting. Acentra Health’s financial management module has never missed a payment cycle, improving the payer-provider relationship.
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Member Services
Enable individuals to view health plan choices, access to health data, correspondences, claims authorizations, and personalization of their user portal experience - customized to your program requirements.
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Clinical Services & Solutions
Provide innovative care and better population health management with improved access to eligibility, assessments,
care management, and utilization management through our Atrezzo platform. Enable providers to identify and engage at-risk individuals,
manage their benefits thresholds at point-of-service, and obtain health intelligence data quickly. Connect individuals with long-term
care needs to additional services through state waiver program eligibility assessments. Review appeals, grievances, care quality,
and standards with the expertise of an experienced partner panel.
Care Management
Track activities and outcomes at individualized care engagement points to empower more comprehensive and better coordinated care. Manage utilization, cases, drug utilization efficiency and accountability.
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Quality Oversight
Support accessibility to high-quality care for individuals with External Quality Review (EQR) services with improved outcomes and elevated consumer satisfaction ratings. Leverage both Medicaid waiver oversight and individual care standards to perform appeal and grievance reviews with our expert physicians’ panel.
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Improved Access
Ensure access to quality treatment in the least restrictive environment with care level assessments, including person-centered evaluations for mental and behavioral health needs and Preadmission Screening and Resident Review (PASRR) recommendations. Support individuals with eligibility application and revalidation services with the assistance of compassionate, dedicated customer service support.
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Data Analytics
Easily integrate your existing data and frameworks with our robust data analytics solutions to improve decision-making
and optimal outcomes in business operations and population health. Acentra Health’s supports your program needs with modern
solutions driven by predictive analytics, machine learning, and data visualization tools.
Machine Learning
Acentra Health is leading the digital transformation of healthcare with Machine Learning. We’re streamlining workflows, enabling proactive, data-driven decisions, detecting fraud, and safeguarding system integrity. With Machine Learning, we’re performing extensive data analysis to address population health risks, facilitating targeted interventions, and enhancing overall health outcomes.
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Data Interoperability
Interoperability in the health information ecosystem means greater
safety and better outcomes for patients, along with a boost in
efficiency and serious cost savings all around. Acentra Health’s
solution helps payers meet rule requirements by sharing claims
data via a secure API, while utilizing HL7® FHIR®, USCDI, and
CARIN Blue Button® standards.
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Machine Learning
Acentra Health is leading the digital transformation of healthcare with Machine Learning. We’re streamlining workflows, enabling proactive, data-driven decisions, detecting fraud, and safeguarding system integrity. With Machine Learning, we’re performing extensive data analysis to address population health risks, facilitating targeted interventions, and enhancing overall health outcomes.
Learn more
Data Interoperability
Interoperability in the health information ecosystem means greater
safety and better outcomes for patients, along with a boost in
efficiency and serious cost savings all around. Acentra Health’s
solution helps payers meet rule requirements by sharing claims
data via a secure API, while utilizing HL7® FHIR®, USCDI, and
CARIN Blue Button® standards.
Learn more
Provider Solutions
Access and manage essential data in real-time and build stronger relationships through provider
and member engagement. Your program can leverage a variety of turn-key or configurable interoperability
solutions to comply with CMS mandates.
Provider Engagement Services
The configurable, CMS-certified evoBrix X modular platform design and standard transaction capabilities are engineered to rapidly deploy provider services that meet your program’s business and policy needs. The Provider Services module allows providers to easily enroll, credential, and verify your program. The solution screens providers in real time and alerts administrators within seconds should any provider become flagged.
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Provider Screening & Enrollment
Acentra Health’s Provider Screening and Enrollment services can be configured to meet your program’s specific business needs so only relevant information is requested for each provider type and specialty. After application submission, applications are automatically sent to the correct administrative staff via our built-in digital workflow. Providers can start and be approved in minutes and hours - not days or weeks.
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Get Started with Acentra Health
Connect with an expert from our team and learn more about how
Acentra Health's solutions and services can benefit your organization.
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