Comprehensive Solutions
Tailored to Your Needs
From healthcare systems transformation to intelligent automation, Optivera delivers expertise across every dimension of your operational landscape.
Healthcare System Services
We support healthcare administration for TPA, MSO, IPA, ACO, PACE, DCE, and payers with deep domain expertise and hands-on implementation experience. Our team delivers precision across every layer of healthcare operations.
- Your trusted partner for professional EZ‑CAP training and upskilling
- System Configurations: EZ-CAP, Plexis/QC, QuickCap/Medvision
- Eligibility Processing & Management
- Provider Management: Creation, Updates, Contracts & Fee Schedules
- Delegation of Financial Responsibilities
- Configuration of Benefits
- Claims Processing Automation & Management
- Adjudication & Claims Pricing/Re-pricing
- UM Process Improvement & Automation
- Capitation Management
- Reporting & Analytics
Workflow Optimization & Intelligent Automation
We streamline your most complex processes through intelligent automation, reducing manual effort, minimizing errors, and dramatically improving throughput and operational efficiency across all departments.
- Process Mapping & Automation Opportunity Analysis
- RPA & Intelligent Automation Implementation
- Claims Processing Automation
- UM Process Improvement & Automation
- Auto Adjudication Optimization
- Performance Monitoring & Continuous Improvement
Electronic Data Interchange (EDI)
Seamless data exchange and system integration across all major HIPAA transaction sets. We map, analyze, and integrate your systems to ensure accurate, timely, and compliant data flows between all stakeholders.
- Master EDI with structured, practical, and industry‑ready training
- OCR: Document/Image Capture & Transformation
- Mapping & Gap Analysis
- Integration with Provider PMS / Clearinghouse / TPA
- HIPAA Transactions: 837, 835, 278, 276/277
- Payor Transactions: TA1, FA, 276/277
- Benefit Enrollment & Maintenance (834)
- Eligibility Inquiry/Response (270/271)
- Sponsor/Clearinghouse/TPA Acknowledgements
Software Development & Testing
From custom applications to QA automation, our engineering teams deliver reliable, scalable software solutions. We cover the full development lifecycle and specialize in independent validation for mission-critical healthcare systems.
- Custom Application Development & Maintenance
- Decision Support & Application Services
- System Planning & Implementation
- Data Conversion, Migration & Integration
- Benefits Realization & Decision Support Applications
- Process Automation & Complex Reports Development
Software Testing
- Independent Black Box Testing
- Reverse Engineering
- QA Automation
Operational Assessments & Process Improvement
We conduct comprehensive operational reviews to identify gaps, optimize workflows, and re-engineer business processes for efficiency and compliance. Fully committed to HIPAA standards including Privacy, Security, and Electronic Transactions.
- Complete Operational Assessments
- Business Process Re-engineering
- Strategic Resource Planning
- End-to-End Process Review / Process Intelligence
- Process Improvement using Intelligent Automation
Implementation Support
From system selection through go-live and beyond, our experienced project teams ensure successful delivery with minimal risk and maximum adoption. We bring best-practice frameworks, proactive risk management, and disciplined execution.
- Project & Resource Management
- System Selection & Legacy System Support
- Risk Mitigation & Best-Practice Guidance
- Integration & Testing
- Pre/Post Go-Live Support & Optimization
- Data Migration & Utilities/Interfaces Development
Data Platforms & Analytics
End-to-end consulting and implementation for data platforms tailored to your business objectives. We transform raw data into actionable intelligence that drives smarter decisions and measurable outcomes across your organization.
- Requirement Analysis & Architecture Design
- Data Platform Design & Development
- Testing & Deployment
- Reporting & Advanced Analytics Solutions
- Integration with Existing Data Sources
- Ongoing Optimization & Support
C.A.R.E. Communication™ Saves You Time and Money
We C.A.R.E. About Clear Communication — and that's not a tagline, it's how we show up for every client, on every engagement, from the first call to final delivery.
How We Communicate With You
When you work with OptiVera, you'll always know where the project stands, who owns what, and what comes next. Together, that clarity:
- Moves projects forward faster
- Reduces avoidable errors
- Protects margins
- Strengthens trust
Expert Guidance Beyond
the Platform
While Process2PointIA provides a powerful automation platform, many organizations also need expert guidance to design, build, and implement technology solutions effectively. Optivera Professional Services brings that expertise directly to your team.
Consulting & Solution Design
Optivera works with your organization to analyze operational processes and design technology solutions that improve efficiency and automation. This includes identifying where workflow automation and system integration will deliver the highest value.
Custom Software Development
When standard platforms aren't enough, Optivera builds custom applications and solutions designed specifically for your organization's unique operational requirements and technology environment.
System Integration
Optivera helps connect the systems your organization relies on — ensuring data flows smoothly across platforms and that multi-system processes operate without gaps or manual handoffs.
Automation Implementation
From workflow design and platform configuration to operational optimization, Optivera guides your organization through every step of implementing Process2PointIA and maximizing the impact of your automation strategy.
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