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What is Newgen Appeals and Grievances?

When addressing the concerns and appeals of members, it is essential to comply with regulatory standards. Our rules-based system facilitates the prioritization and routing of service requests while enhancing resource efficiency. The platform enables the documentation of all decisions, notes, exceptions, and additional details for reference or auditing purposes. By automating your service request workflows, you can not only improve member satisfaction and ensure compliance but also strengthen the resilience of your organization for the future. This strategic approach ultimately leads to a more streamlined operation and better service delivery.

What is Centauri Health Solutions?

Centauri Health Solutions focuses on healthcare technology and services, driven by a strong desire to improve the efficiency of the healthcare system for clients while providing compassionate care to those in need. Our innovative software utilizes advanced analytics to assist hospitals and health plans—including sectors like Medicare, Medicaid, Exchange, and Commercial—in managing their variable revenue through a tailored workflow platform. Additionally, we offer personalized support to patients and members, ensuring they have access to essential benefits that can greatly enhance their quality of life. Our comprehensive solutions include Risk Adjustment services (such as Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, while also addressing Social Determinants of Health to improve healthcare outcomes and accessibility even further. Each element is meticulously crafted to function together, ultimately fostering a more effective and compassionate healthcare experience for all stakeholders involved. By integrating these services seamlessly, we aim to create a healthcare environment that not only meets but exceeds the expectations of our clients and the communities we serve.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support

Customer Service / Support

Standard Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Newgen Software

Date Founded

1992

Company Location

United States

Company Website

www.newgensoft.com

Company Facts

Organization Name

Centauri Health Solutions

Date Founded

2014

Company Location

United States

Company Website

www.centaurihs.com

Categories and Features

Healthcare

Not specified

Categories and Features

Medical Billing

Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Quotes/Estimates
Remittance Advice

Medical Coding

Not specified

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