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.
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.
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.
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.