P2P DOFR Intelligence + DOFR Resolve | Financial Responsibility Automation

From Complex DOFRs to Confident Responsibility Decisions.

Transform complex Division of Financial Responsibility agreements into structured, actionable rules with P2P DOFR Intelligence—then apply P2P DOFR Resolve to identify overlaps, evaluate responsibility criteria, and support consistent financial responsibility determination.

Understand the agreement. Resolve the overlap. Determine responsibility.

Inpatient Hospital Services Health Plan
Specialist Office Visits IPA
Emergency Room Services Hospital
Durable Medical Equipment Health Plan
Outpatient Lab Services IPA
Reading service rules from PDF…
DOFR Intelligence

Transform your Delegation of Financial Responsibility
from static documents into actionable intelligence.

P2P combines AI-powered DOFR interpretation, automated validation, and intelligent decision logic to help health plans, MSOs, and IPAs determine financial responsibility with greater accuracy and consistency.

Less manual review.·Fewer configuration gaps.·Smarter adjudication.

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Introducing P2P DOFR Resolve | Intelligent Overlap Resolution

Find the Conflicts Before They Reach Your Claims.

P2P DOFR Resolve analyzes financial responsibility rules across service categories to identify overlapping or conflicting assignments—and evaluates the criteria needed to help determine the appropriate responsibility.

It can evaluate criteria including:

128,000+
Rules Compared
Evaluate Criteria
CPT/HCPCS, ICD-10
Place of Service
Modifiers
128,000+
Rules Compared
83
Sections Covered
Provider
Attributes
Member
Attributes
83
Sections Covered
Every Category
Cross-Checked
Authorization
Status Requirements
Network Tier
In vs. Out-of-Network
Every Category
Cross-Checked

DetectCompareEvaluateResolve

The Result?

A smarter, more consistent path from DOFR configuration to claims adjudication.

Let's Work Together

Turn Complex DOFRs Into Clear Decisions.
Make Responsibility Intelligent.

Let our DOFR Extractor handle the PDFs so your team can focus on strategy. Contact us today to see a live demonstration of our extraction and EZ-CAP merging utility in action.

OptiVera Solutions

Empowering healthcare and technology-driven organizations to achieve operational excellence through intelligent automation, advanced technology platforms, and strategic communications.

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Riverview, FL 33568
United States
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