Centivo Provider Network: Secure, Aligned Healthcare Access

centivo

Centivo offers a comprehensive provider network designed to transform healthcare delivery through innovative, value-based partnerships. This article explores the Centivo provider ecosystem, highlighting how they create meaningful connections between healthcare providers, employers, and patients.

Official Links

What Providers Can Expect

Centivo’s provider network is built on a unique model that prioritizes:

  • Care Coordination: Rewards for exceptional patient outcomes
  • Direct Interaction: Close partnerships with employers
  • Data-Driven Approach: Enhanced access to critical healthcare insights

Network Selection Criteria

Centivo carefully selects provider partners based on:

  • Advanced primary care-centered clinical models
  • Patient access and experience guarantees
  • Competitive market unit costs
  • Value-based payment structures

Key Provider Benefits

Aligned Incentives

  • Rewards for excellent care coordination
  • Opportunities for shared savings with employers
  • Focus on patient outcomes and experience

Patient Management

  • Strong emphasis on primary care relationships
  • Proactive approach to preventing health complications
  • Team-based, evidence-driven care strategies

Provider Commitments

Successful Centivo provider partners demonstrate:

  • Enhanced care access (same-day appointments)
  • 24/7 clinical staff availability
  • Team-based care planning
  • Coordinated specialist referrals

Network Flexibility

Out-of-Network Services

  • Regional and local network options
  • Coverage for urgent care and emergencies
  • Support for travelers needing medical services

On-Site Clinic Integration

  • Ability to incorporate on-site employer clinics
  • Seamless network expansion capabilities

Technology and Support

While specific details about a dedicated provider portal are not explicitly outlined in the source material, Centivo emphasizes:

  • Direct data access
  • Employer interaction capabilities
  • Patient experience tracking

Privacy and Compliance

Centivo operates with transparency, adhering to:

  • Privacy Policy
  • Terms & Conditions
  • No Surprises Act compliance
  • Accessibility standards

Contact Information

Headquarters
199 Scott Street, Suite 800
Buffalo, NY 14204

New York Office
205 East 42nd Street
New York, NY 10017

Important Note

Centivo administers self-funded health plans and is not an insurance company. Providers interested in partnership should contact Centivo directly.

Limitations of Current Information

Specific details about a dedicated provider portal are not comprehensively described in the available sources. Healthcare providers seeking precise portal functionality should contact Centivo directly for the most current information.

Final Thoughts

Centivo represents an innovative approach to healthcare delivery, prioritizing quality, coordination, and patient-centered care. Their network model offers providers a unique opportunity to transform healthcare service delivery.

FAQ

Is Centivo part of Cigna?

AI Overview
    • Centivo
      https://centivo.com
      Centivo launches new health plan solution – Centivo

    • Centivo
      https://centivo.com
      Savings, predictability and control with Centivo level funding
      Together with Centivo’s proprietary network and an optional broad national network, we deliver the affordable, quality healthcare everyone deserves. Cigna is an…

What type of insurance is Centivo?Centivo is an innovative provider of health plans for self-insured employers built to address health care affordability for employees and their families.

What is the payer ID for Centivo?

AI Overview
    • Health Network Solutions
      http://healthnetworksolutions.net
      Centivo Participating Provider Manual – Health Network Solutions
      When submitting electronic claims, use Centivo’s clearinghouse payer ID*: 45564.

    • Midlands Choice > For Healthcare Providers > News > News Archives
      https://www.midlandschoice.com
      Midlands Choice > For Healthcare Providers > News > News Archives
      Dec 14, 2021

    • – My Best Practice
      https://practice.mbpractice.com
      Payer ID: 45564 – – My Best Practice

Who is the owner of Centivo?Ashok Subramanian Chief Executive Officer

Ashok founded Centivo in 2017 after observing the inefficiency in the healthcare system and the pain that has resulted for employers and employees. In addition to his role at Centivo, Ashok serves as a senior advisor to Silversmith Capital, a growth equity firm.

https://www.provider.centivo.com/

View eligibility, benefits, claims, and payments; search for providers; access plan documents; request new ID cards; and more through Centivo’s Employer Portal.

https://centivo.com/for-providers/

Visit the Member portal to view your ID card, search for providers, see details about your coverage and explanations of benefits and connect with Centivo Member

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