Stop Keying DOFR Matrices. Start Merging Them Automatically.
Optivera's DOFR Extractor reads your Division of Financial Responsibility PDFs, verifies every service rule, and merges the configuration directly into your EZCap database — no manual keying required.
Map manually or upload a PDF — either way, it's mapped to HICE Standard Categories and built out in full.
Translating a DOFR Contract Into EZCap Shouldn't Hurt This Much
Dense, multi-page PDF agreements turned into thousands of hand-keyed service rules — here's what that actually costs configuration teams.
Thousands of Lost Hours
Manually keying service categories, procedure codes, and responsibility matrices takes weeks or months of dedicated staff time.
High Error Rates
Human data entry from complex PDFs inevitably leads to typos and misconfigurations buried deep in the system.
Downstream Adjudication Errors
A single configuration mistake results in hundreds of claims incorrectly paid or denied — and costly rework with provider abrasion.
Delayed Go-Lives
New contract implementations stall under the sheer volume of manual configuration required before launch.
From Static PDF to Live EZCap Configuration in Three Steps
We handle the extraction, verification, and database merging — so your team doesn't have to.
Intelligent PDF Ingestion & Extraction
Simply upload the DOFR PDFs provided by your network partners. The extraction engine scans the documents and intelligently pulls out complex service grids — identifying service categories, sub-categories, and exactly who holds financial responsibility (Health Plan, IPA, or Hospital).
Automated Responsibility Verification
Extracted data is presented in a clean, structured interface for quick review. The software automatically maps the text to standardized codes — like AdjCodes and AdjGroupCodes — and verifies logical consistency before anything touches your core system.
Direct EZCap Database Merging
Instead of staff manually typing verified rules into EZCap screens one by one, the utility merges new DOFR configurations directly into the EZCap database — updating the tables automatically for accurate configuration in a fraction of the time.
Maps to HICE Standard Categories — Then Builds Everything Underneath Them
Every service category is mapped against HICE Standard Categories, and from that single mapping, the system derives the procedure codes, diagnosis codes, revenue codes, and every other detail your financial responsibility set requires.
Map It Manually
Already know the structure? Map service categories to HICE Standard Categories directly inside the system.
Upload a PDF
Or upload the DOFR PDF and let the extractor map every category to HICE standards for you automatically.
HICE Standard Category Engine
Keeps responsibility logic consistent across every category, contract, and combination — no matter how it was mapped.
Procedure Codes
CPT / HCPCS derived per category
Diagnosis Codes
ICD-10 codes tied to each rule
Revenue Codes
Mapped per responsibility line
Other FR Detail
Every intrinsic rule the set needs
What would otherwise mean manually building thousands of financial responsibility records across countless code combinations is generated automatically — accurately, every time, however the data comes in.
Hard-Dollar Results, From Day One
Automating DOFR extraction and EZCap configuration pays for itself fast — here's where the ROI shows up.
Drastic Time Savings
Turns a process that takes weeks of manual data entry into a task that takes hours.
Zero Data Entry Errors
Direct database merging eliminates fat-finger mistakes, so EZCap matches the contract exactly.
Faster Implementations
Rapidly operationalize new managed care contracts without configuration bottlenecks.
Reduced Claims Rework
Perfect configuration on day one means accurate adjudication the first time — fewer appeals and adjustments.
Stop using your highly skilled configuration analysts as data entry clerks. By automating the pipeline from DOFR PDF to EZCap database, you eliminate adjudication errors at the source and significantly accelerate your speed to market for new contracts.
Stop Typing.
Start Automating.
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 EZCap merging utility in action.
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