Delegated Risk Care Delivery Organizations

For physician groups practicing in a managed care model, services in Centricity Business are automatically adjudicated with a powerful plan definition scheme defined once for internally provided services as well as external claims payment. The system supports full management of division of responsibility rules, complex capitation terms with easy-to-use rate tables and population rules as well as definition of contracted provider networks and facilities. Centricity Business enables healthcare organizations to manage enrollment, referrals, capitation, claims payment, case management and customer service processes in an integrated and proactive manner.