To provide information on CareCentrix’s prior authorization requirements and changes to those requirements.. Read More 2021-01-13 … To remind providers that effective 01/01/2021, CareCentrix began supporting a new MedicareAdvantage HMO and PPO Health Plan, Braven Health, in New Jersey…
CareCentrix has developed purpose-built technology, analytics, and experience to guide care that keeps patients on the path to the ultimate site of care: home.
CareCentrix is committed to making the home the center of patient care. We have more than 20 years of experience working with payors and providers to create programs that improve quality and lower costs by allowing patients to heal or age where they want to be: at home.
Medical Coverage Guidelines – Provider Feedback To view the utilization review criteria that CareCentrix uses in making medical necessity reviews, please click on the applicable link below. Health plans update the criteria regularly. Please check the links below frequently (at least monthly) to ensure you are aware of any updates.
Contact Information. Our regular business hours are 8:30 a.m. – 5 p.m. EST. General Inquiries: Please call 1-800-808-1902. Sales Inquiries: Please call 1-888-839-5122
CareCentrix is leading the path home through an approach that combines advanced analytics and clinical teams who interact directly with individual patients through proprietary workflow tools. We are helping our clients reduce waste, prevent unnecessary hospital readmissions, and help patients heal where they most want to be – at home.