Administrative Simplification

Managing all data formats for inbound and outbound transaction sets for ‘Clearinghouse in a Box’ functionality for integrated seamless EDI processing

Schedule a Demo

Real-Time Data

Harnessing the Value of Your Data

This product offers the latest advancement in electronic data interchange (EDI) to easily retrieve information and perform transactions in real-time directly into EZ-CAP, without going through a clearing house. With the complexities of today’s HIPAA EDI formats, EZ-EDI is designed to reduce the time and effort it takes to implement an EDI solution. HIPAA formats are not uniform, requiring multiple modified forms of the standard data sets. While most vendors require expensive custom maps that are difficult to decipher and translate, EZ-EDI puts the power of graphical mapping into your hands. With a simple drag-and-drop feature, you can easily map inbound and outbound HIPAA standard files to and from your EZ-CAP data sets. The inloading and processing of these files can be automated to virtually eliminate manual interaction, increasing productivity and reducing human error.

 

iStock-1079939112-network-mapping-web

Inbound Processing

  • Supports HIPPA x12
    • 270/271
    • 276/277
    • 278
    • 834
    • 835
    • 837P, 837I and 837D
  • Support for both HTTPS and SFTP file submission
  • Includes EZ-Cap Proprietary Formats for easier construction of eligibility, authorization, initial claim and paid claim in-loads
  • Track and report on Inbound and Outbound files
  • Easily search by Transfer Mode, Transaction Type, Receipt Dates and others
  • Visually identify parsing success and status
  • Quickly track the status of inbound transaction batch processing and posting
  • Authorization, Eligibility and Claim Processing
  • Drill down into batch detail
  • Launching page for error review and correction

Inbound Reports & Validation

  • Real time view into inbound batch details
  • At-a-glance batch summary
  • Batch summary by provider
  • Detail reporting at all or individual status levels
    • Processed
    • Validation Errors
    • Posted
  • User friendly interface for reviewing and correcting validation errors
  • Clear error descriptions
  • Hot links move directly to the error for quick correction
  • Color changes from red to green if correction made
  • Bach correction can apply a single change to all similar errors within the batch

Outbound Processing, Encounter Submission & Mapping

  • Schedule and generate outbound transactions for
    • 834
    • 837
    • 278
  • Extensive selection criteria to include or exclude only the data you want to send
  • Additional outbound transactions supported
    • 271
    • 277
    • 835
  • Receive and translate transaction response files into a user friendly format
  • Correct and resubmit rejected data
  • Hotlink to source record in EZ-Cap
  • Customize inbound and outbound transaction maps
  • Conform to companion guides without programming
  • Drag and drop interface
  • Powerful data manipulation capabilities for transforming data

aco-icon-NEW

Accountable Care Organizations

Learn More

 

self-insured-employer-icon-NEW

Self-Insured Employers

Learn More

 

health-plan-icon-correct-NEW

Health
Plans

Learn More

 

IPA-icon-NEW

Independent Practice Associations

Learn More

 

integrated-delivery-system-icon-NEW2

Integrated Delivery Systems

Learn More

 

MSO-icon

Management Services Organizations

Learn More

 

Provider-icon_NEW2

Providers

Learn More

 

TPA-icon-NEW

Third Party Administrators

Learn More

 

LOB-ICONS-Commercial

Commercial

Learn More

 

LOB-ICONS-Duals-NEW

Duals

Learn More

 

LOB-ICONS-Medi-Cal

Medi-Cal

Learn More

 

LOB-ICONS-Medicaid

Medicaid

Learn More

 

LOB-ICONS-Medicare

Medicare Advantage

Learn More

 

LOB-ICONS-Pace-NEW

PACE

Learn More

 

LOB-ICONS-Speciality-NEW

Specialty/Carve-Out

Learn More

 

ez-cap

Core Administration

EZ-CAP is a comprehensive claims and benefit administration system, managing all functions of a managed care organization in a single integrated platform.

Learn More

 

 

ez-care

Utilization/Case/Care Management

EZ-CARE is a dedicated care management module supporting our clients clinical teams’ focus on managing risk, quality of care, reducing costs, and improving patient/member experience. This complete, easy-to-use case management application is designed for the unique workflows of the nurses, doctors, case managers and healthcare administrators engaged in care management roles.

Learn More

 

 

ez-info-2

Analytics

EZ-INFO provides a complete, end-to-end population health platform for delegated IPAs, MSOs and Health Plans managing patients at risk. This solution combines everything from clinical and claims data to biometric and social information in a single location for actionable data, such as managing HCCs, HEDIS, STARS, etc., making program management simple, allowing you to effortlessly maximize revenue and reduce the future cost of care.

Learn More

 

 

ez-net-new

Provider Portal

This internet portal facilitates timely, cost-effective sharing of clinical and administrative information between a healthcare organization, network providers, and health plans.

Learn More

 

 

ez-partner-new

Universal API

This application enables software vendors to interface existing systems with EZ-CAP. This Application Programming Interface (API) is an expert modification tool for developers to format request and response file transactions.

Learn More

 

 

citra-cloud-1

Cloud Services

Citra Cloud provides an advanced EZ-CAP cloud-based hosting service that gives you everything you need to run EZ-CAP, EZ-EDI, and EZ-NET. Achieve “plug-and-play” access to your application to safeguard your data and control costs.

Learn More

 

 

eligibility manager

Eligibility Management

Eligibility Manager is a uniquely configurable software solution that makes it easy for IPAs, MSOs, or any population health, delegated group or managed care organization to efficiently manage changes to healthcare member eligibility.

Learn More

 

 

cap check

Capitation Reconciliation

Cap Check is an essential tool for medical groups with capitated contracts to verify that they are receiving correct payments. By reconciling actual payments with expected payments on a member/month basis, you can verify whether you are being paid correctly, and make corrections when you are not.

Learn More

 

 

datatug

Eligibility Management

DataTug is a unique product that knows how to find the information you need quickly and accurately for any health plan. DataTug extracts required data automatically from health plan web sites and ANSI X12 270/271 and other data portals.

Learn More

 

 

We are Citra

"If you are listening with intent to your clients, you will be a fantastic vendor and a very successful company."

Scott Sanner, CEO 

Discover what Citra has to offer. Schedule your demo.

Schedule a Demo