Fix What's Slowing Down Your Operations. Automate What Shouldn't Be Manual.
Optivera helps healthcare organizations optimize your system, eliminate manual claims processing, and streamline operations—without replacing your system.
What We Actually Fix
We focus on the operational issues that create delays, errors, and unnecessary manual work.
Claims reprocessing and backlog
Manual claims adjustments
Inconsistent adjudication results
Fee schedule inconsistencies
EDI errors and delays
Duplicate provider and member data
Underutilized EZ-CAP functionality
Manual reporting and reconciliation workflows
EZ-CAP Optimization for Healthcare Organizations
Most organizations are only using a portion of what EZ-CAP can actually do. Optivera helps unlock more value from your existing system by improving configuration, workflows, claims operations, and automation.
We do not replace your system — we help make it work the way it should.
See How We Optimize EZ-CAP →Practical Solutions. Real Results.
Optivera helps you:
Claims processing optimization
Configuration review and cleanup
EDI workflow support
Provider, member, and eligibility support
Operational reporting and automation
Staff enablement and knowledge transfer
Automate manual workflows
Stabilize and scale operations
Identify Gaps
Focused operational review of your EZ-CAP setup
AssessmentFix Configuration
Correct setup issues across claims, eligibility & EDI
ConfigurationAutomate Workflows
P2P and claims automation to cut manual work
AutomationEnable Your Team
Training & ongoing support for lasting results
EnablementReduces Manual Work
Automates repetitive operational tasks so your team focuses on higher-value work.
Improves Workflow Accuracy
Consistent, rules-based automation reduces errors and improves processing reliability.
Works With Existing Systems
P2P enhances platforms like EZ-CAP without disrupting your current environment.
Powered by Process2PointIA
Process2PointIA, or P2P, is Optivera's automation platform designed to enhance existing systems by reducing manual work, improving workflow accuracy, and supporting scalable operations.
P2P works alongside platforms like EZ-CAP to automate repetitive tasks, support operational consistency, and help teams move faster without disrupting their current environment.
Automation that works with your system — not against it.
Purpose-Built Tools That Deliver Practical Results
Optivera has developed targeted tools to solve common operational problems in EZ-CAP and healthcare payer environments.
Claims Utility
Supports bulk claim updates, status changes, denial workflows, repricing claims, and operational claims cleanup.
Fee Schedule Tool
Supports fee schedule updates, validation, and reliable pricing-related maintenance.
EZ-Merge Tool
Helps clean duplicate provider, member, and related data issues.
NDC IntelliSync
Supports NDC update automation, validation, and maintenance.
Reversal & Recovery Engine
Supports claims corrections, reversals, recoveries, and recoupment workflows.
EPF (Entity Proprietary Format)
Manages member, provider, and vendor data exchange within EZ-CAP using structured proprietary formats for accurate entity-level updates.
"Transforming complexity into measurable outcomes through innovation, principled solutions, and effective communication."— OPTIVERA VISION STATEMENT
Why Organizations
Choose Optivera
Deep EZ-CAP Expertise
Specialized EZ-CAP knowledge—not generic consulting.
Payer, MSO & IPA Experience
Real-world experience across payer operations.
Fast, Practical Execution
We identify problems and fix them—quickly.
Automation-First Approach
Reduce manual work through P2P and workflow tools.
Outcomes Over Recommendations
We measure success by results delivered—not decks produced. Every engagement is focused on measurable operational improvement.
"Transforming complexity into measurable outcomes through innovation, principled solutions, and effective communication."— OPTIVERA VISION STATEMENT
The Optivera Advantage
Flexible, cost-effective, and future-ready — built for healthcare organizations navigating rapid change.
Future-Ready Technology
Access emerging technologies without major investment in training or infrastructure. Respond quickly to business changes and accelerate digital initiatives.
Cost-Effective TechSourcing Model
Convert fixed costs into variable costs. Flexible pricing: Time & Material, Blended Rates, Fixed Price, Cost Plus Margin, or combined options.
24/7 Global Support
Leverage global time zone differences to provide agile, round-the-clock support with continuous communication keeping stakeholders informed.
Enhanced Operational Service Levels
Proven development processes, disciplined quality systems, and structured methodologies improve service delivery and project predictability.
Ready to Fix What's
Slowing You Down?
Let's identify the claims, workflow, and system issues that are creating unnecessary manual work — and build a practical path to improve them.
Empowering healthcare and technology-driven organizations to achieve operational excellence through intelligent automation, advanced technology platforms, and strategic communications.
PO Box 1052Riverview, FL 33568
United States