Thank You For
Visiting the Acentra
Health | NMMIP Website

Atrezzo is available for submission of all requests
for NMMIP services. Click the button below to register
and log in.

ANNOUNCEMENTS:

12/20/24: NMMIP has made some changes to the prior authorization list. Please refer to the codes list section under the Providers tab for further information.

8/21/2024: There has been a shift in some administration of the Pool (NMMIP) that may result in a delay in claims processing. Please continue to provide services to our members and continue to use the Provider Login and Preauthorization Login below. Watch this website for further information and refer to this FAQ which will continue to be updated.

Please note that as of 4/1/24 Home Health Code G0158 will require authorization review and has been added to CPT list located on the Provider's tab.

Tips for locating members and reviews

If you receive the error "One or more procedure code does not require auth by Acentra Health" during case submission, please verify all of your CPT codes in the "CPT codes that require review" document located on the Providers tab of this website. If the code is present on the list authorization is required and a case can be submitted. If the CPT code is not present on the list, no authorization is required and the ANG system will not allow the code to be included in a case submission. Removing this code from your submission will remove the error and you will be able to continue your case.

Announcements & Events

1/01/24

Please be advised that all NMMIP member's ID numbers have changed as of 1/1/24. Please see the link below for tips on how to locate members in the ANG Atrezzo portal.

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12/01/23

NMMIP has changed the way prior authorization requests are submitted as of December 1, 2023. All requests will now be submitted securely online through the Atrezzo Provider Portal at portal.kepro.com.

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About Our Program

As an industry leader, Acentra provides innovative, quality utilization management solutions which serves across broad geographical and client market segments. Acentra ensures appropriate, quality-driven care through medical necessity review of specified inpatient and outpatient services. Our Utilization Management solution delivers meaningful health outcomes across the healthcare continuum by working collaboratively with the member and their providers to ensure care is being provided in the right setting and at the right time.