Pillar 01 of 05 · Process2PointIA

This Is Where P2P
Starts Thinking.

Every document P2P reads. Every rule it applies. Every responsibility it determines. It all starts here—the reasoning layer that turns raw healthcare data into decisions your team can actually trust, automatically.

  • No manual review queues
  • No re-keying what a document already says
  • No guessing who's financially responsible
P2P Intelligence
DocVision - OCR
DOFR Intelligence
DOFR Resolve
DecisionCore
Provider NPI Validation
Healthcare Document
Extracted Output
P2P Intelligence · DocVision

Turn Documents Into Actionable Data.

DocVision reads healthcare documents—claims, authorizations, clinical records—and turns paper, faxes, and scans into structured, validated data using AI-powered OCR and RPA. What used to take manual review now happens in seconds.

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P2P Intelligence · DOFR Intelligence & Resolve

From Complex Agreements to Confident Decisions.

DOFR Intelligence transforms Delegation of Financial Responsibility agreements into structured, actionable rules. DOFR Resolve then analyzes those rules across service categories to catch overlaps and conflicts before they reach a claim.

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Inpatient Hospital ServicesHealth Plan
Specialist Office VisitsIPA
Emergency Room ServicesHealth Plan
DME & Home HealthIPA
Reviewing agreement…
Rules Engine

Claims Adjudicate Themselves

Auto-adjudication built directly into the rules engine — no separate step required.

Every Claim Finds Its Match

Claims are automatically matched to the right authorization, every time.

Priced Right, Automatically

The correct fee schedule is identified and applied without manual lookup.

Codes Checked Before They're Paid

Modifier and code-edit rules catch issues before a claim ever gets paid.

Exceptions Never Get Lost

Anything a rule can't resolve is routed automatically to where it needs to go.

Decisions in Real Time

Every case is decided the moment it's ready — not queued for days.

Everything Connected, Automatically

Claims, authorizations, providers, and members are linked without manual cross-referencing.

Guardrails on Every Rule

Automation stays scoped to exactly the data it should touch — never more.

Never Processed Twice

Built-in protection stops the same action from firing on a case more than once.

Tuned to Exactly What You Need

Every rule can be configured to the specific criteria your organization requires.

P2P Intelligence · DecisionCore

The Rules Engine Behind Every Decision.

DecisionCore is the rules layer every P2P transaction passes through—matching, pricing, and routing each case using configurable business rules, with built-in guardrails that keep automation scoped to the right data every time.

Match. Price. Route. Decide.

P2P Intelligence · Provider NPI Validation

Every Provider, Correctly Identified.

Missing or invalid NPIs stall claims before they even start. Provider NPI Validation finds them in your staging data, cross-references the federal NPPES registry, and surfaces high-confidence matches — ready to review and apply in bulk.

Detect. Match. Verify. Apply.

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Let's Work Together

See What Intelligent
Healthcare Automation Looks Like.

Let's talk about where document understanding, business rules, and financial responsibility decisions are slowing your operations down—and how P2P Intelligence can help.

OptiVera Solutions

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

PO Box 1052
Riverview, FL 33568
United States
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