List of Cedar Gate EZ-CAP Customers
Cedar Gate Technologies
1920 NW Amberglen ParkwaySuite 200,
Beaverton, 97006, OR,
United States
Beaverton, 97006, OR,
United States
1 844-572-6400
Professional Services
660
$118M
Since 2010, our global team of researchers has been studying Cedar Gate EZ-CAP customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Cedar Gate EZ-CAP for Core Admin Processing System from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Cedar Gate EZ-CAP for Core Admin Processing System include: Molina Healthcare, a United States based Healthcare organisation with 18000 employees and revenues of $40.65 billion, AltaMed Health Services, a United States based Healthcare organisation with 5700 employees and revenues of $1.53 billion, AllCare Health, a United States based Healthcare organisation with 350 employees and revenues of $500.0 million, First Medical Health, a Puerto Rico based Insurance organisation with 550 employees and revenues of $200.0 million, Clever Care Health Plan, a United States based Insurance organisation with 250 employees and revenues of $120.0 million and many others.
Contact us if you need a completed and verified list of companies using Cedar Gate EZ-CAP, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Cedar Gate EZ-CAP customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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AllCare Health | Healthcare | 350 | $500M | United States | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2019 | n/a |
In 2019 AllCare Health implemented Cedar Gate EZ-CAP as its Core Admin Processing System, establishing a centralized platform for Medicaid and Medicare encounter and claims adjudication. The deployment supports AllCare CCO adjudication workflows, enforcing policy and contract rules for Medicaid and Medicare encounters within Cedar Gate EZ-CAP.
The Cedar Gate EZ-CAP implementation includes an adjudication engine that executes encounter edits and auto adjudication logic, driven by the AllCare Cedar Gate EzCap Claim Data Elements for Auto Adjudication document. Front end processing capabilities are configured to validate incoming claim data and apply encounter edits prior to acceptance, enabling automated decisioning for standard claim types and manual review for exceptions.
Operationally claims received in paper format are converted to electronic format and processed through a clearing house, where data that fails validation is returned to the provider for correction and resubmission. Processed encounters are regularly submitted to OHA and CMS, and the platform is used by claims processing and operations teams to manage intake, exception handling, and submission workflows.
Governance is codified in policies and procedures addressing claims and encounter audits, including an Upload Process and Procedure Document and an attachment titled AllCare CCO Example 2021-12 CAP Vendor Completenes. These documents define the in load process for claims and encounters and the information elements required for automated adjudication, supporting auditability and operational control of the Cedar Gate EZ-CAP environment.
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AltaMed Health Services | Healthcare | 5700 | $1.5B | United States | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2021 | n/a |
In 2021, AltaMed Health Services implemented Cedar Gate EZ-CAP as a Core Admin Processing System to support administrative and operational workflows and reporting requirements. The deployment used a SQL Server-backed installation model with dedicated User Acceptance Testing environments scheduled and managed to ensure data integrity during configuration and version upgrade cycles.
Cedar Gate EZ-CAP was configured and managed for full lifecycle operational support, including installations, patches, hotfixes, version upgrades, user support, and end user training. Technical staff developed and maintained SQL scripts, stored procedures, triggers, and scheduled jobs, and performed SQL Server monitoring, backup and recovery strategies, user security management, and database performance optimization to support day to day processing and reporting.
The implementation included integrations with external applications PCG, DataWing, and WebStrat, and vendor coordination for issue resolution, system patches, and upgrades. Operational coverage emphasized cross organizational stakeholder engagement, with the platform supporting workflows tied to thousands of daily patient records and serving IT operations, data analytics, and administrative teams.
Governance for Cedar Gate EZ-CAP emphasized structured testing and documentation, with comprehensive technical documentation created including process flows using Microsoft Visio, user guides, and standard operating procedures. Change control and incident management workflows were centralized, and incident management streamlining reduced resolution times and minimized downtime for critical healthcare application processing.
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Clever Care Health Plan | Insurance | 250 | $120M | United States | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2021 | n/a |
In 2021, Clever Care Health Plan implemented Cedar Gate EZ-CAP as its Core Admin Processing System to consolidate administrative processing for plan operations. The Quality Assurance and Improvement Manager configured Cedar Gate EZ-CAP to process grievances and appeals, enrollment, authorizations, case management, claims processing, customer service workflows, capitation handling, letter templates, and operational reporting.
Configuration work focused on module-level automation for appeals tracking, enrollment lifecycle management, authorization routing, case management workqueues, claims status management, templated correspondence, and configurable reporting. The implementation established connectivity with CMS and with in-network providers to support required exchanges of enrollment, claims, and care coordination information, and it was accompanied by creation of quality program policies and procedures to satisfy CMS requirements in Quality, CMS Stars, and Risk Adjustment while supervisory governance over the customer service team was formalized to operate the system.
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First Medical Health | Insurance | 550 | $200M | Puerto Rico | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2012 | n/a |
In 2012 First Medical Health implemented Cedar Gate EZ-CAP to support claims operations, deploying the Cedar Gate EZ-CAP Core Admin Processing System for professional and institutional services across Puerto Rico and the United States. The implementation was centered on claims operations within the payer, with on-site claims processing activities documented from May 2012 to February 2015 by claims staff in Puerto Rico.
The Cedar Gate EZ-CAP deployment covered core functional modules for claims adjudication, payment processing and audit, and claims tracking. Operational capabilities implemented included processing and auditing payments for participating and non-participating providers, analyzing and processing claims to meet production and quality targets, and maintaining tracking of outstanding claims. The solution handled multiple payment methods and pricing engines used by claims staff, including DRG, APC, ASC, Home Health, Physical Rehabilitation, ESRD Pricer, and Medicare Fee Schedule calculations.
Operational coverage focused on the claims department and related business functions such as payment posting, audit, and benefits adjudication, with Senior Claims Specialists responsible for processing, auditing, and referring implementation findings into operational workflows. Claims processing work used established benefits, laws, regulations, CMS fee schedules, supplier contracts, reference books, and internal policies to guide adjudication and quality requirements. Confidentiality controls and procedural adherence were enforced by claims teams during day to day operations.
Governance and workflow changes emphasized formalized audit and referral loops, where Senior Claims Specialists fed findings from the Cedar Gate EZ-CAP implementation back into process adjustments and policy enforcement. Training and on-site operational execution in Puerto Rico supported the rollout, aligning claims production targets with quality and compliance rules governed by CMS and contract terms.
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HealthTexas Primary Care Doctors | Healthcare | 460 | $60M | United States | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2009 | n/a |
In 2009, HealthTexas Primary Care Doctors implemented Cedar Gate EZ-CAP to manage capitation accounting and reporting across its ambulatory network. Cedar Gate EZ-CAP was provisioned as a Core Admin Processing System to centralize capitation data capture and to support Claims and Quality Partners In Care reporting workflows.
The implementation bundled capitation data extraction from EZ-CAP Views into a SQL Data Warehouse, ETL pipelines built with SQL Server Integration Services, and SSRS-driven dashboards. Developers documented reports and SSIS package dependencies, authored T-SQL stored procedures and data-driven subscriptions, and automated Quality Partners In Care and Claims dashboards as core reporting capabilities.
Operational architecture maintained separate Prod and Dev SQL Data Warehouse reporting environments, with data returned from Views on EZ-Cap Prod persisted as tables on the data warehouse and table structures synchronized between environments. Red Gate was used to identify identical and differing database objects and to flag potentially unused objects, while targeted SQL against the SSRS Report Server database located reports and SQL jobs that relied on stored procedures and SSIS packages.
Governance and rollout artifacts included a detailed spreadsheet mapping table names and data types between old and new versions, documentation of differences in data objects, verification of import and relative date fields such as DOS, Claim Paid Dates, and Claim Receive Dates, and a formal sync process to align Prod and Dev database objects. Documentation of impacted SSIS packages and reports was used to drive change control and release planning for the EZ-Cap application upgrade.
As part of the deployment, ETL SSIS solutions were developed for data migration and reporting and optimization and performance tuning for SSRS reports and stored procedures were executed to stabilize operational reporting. Cedar Gate EZ-CAP provided HealthTexas Primary Care Doctors with a structured Core Admin Processing System foundation for centralized capitation and claims reporting.
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Healthcare | 18000 | $40.7B | United States | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2024 | n/a |
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Buyer Intent: Companies Evaluating Cedar Gate EZ-CAP
ARTW Buyer Intent uncovers actionable customer signals, identifying software buyers actively evaluating Cedar Gate EZ-CAP. Gain ongoing access to real-time prospects and uncover hidden opportunities. Companies Actively Evaluating Cedar Gate EZ-CAP for Core Admin Processing System include:
- Public Consulting Group, a United States based Professional Services organization with 10 Employees
- athenahealth, a United States based Professional Services company with 7000 Employees
- Roanoke County Public Schools United States, a United States based Education organization with 1718 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
| Logo | Company | Industry | Employees | Revenue | Country | Evaluated | ||
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FAQ - APPS RUN THE WORLD Cedar Gate EZ-CAP Coverage
Cedar Gate EZ-CAP is a Core Admin Processing System solution from Cedar Gate Technologies.
Companies worldwide use Cedar Gate EZ-CAP, from small firms to large enterprises across 21+ industries.
Organizations such as Molina Healthcare, AltaMed Health Services, AllCare Health, First Medical Health and Clever Care Health Plan are recorded users of
Cedar Gate EZ-CAP for Core Admin Processing System.
Companies using Cedar Gate EZ-CAP are most concentrated in Healthcare and Insurance, with adoption spanning over 21 industries.
Companies using Cedar Gate EZ-CAP are most concentrated in United States and Puerto Rico, with adoption tracked across 195 countries worldwide. This global distribution highlights the popularity of Cedar Gate EZ-CAP across Americas, EMEA, and APAC.
Companies using Cedar Gate EZ-CAP range from small businesses with 0-100 employees - 0%, to mid-sized firms with 101-1,000 employees - 66.67%, large organizations with 1,001-10,000 employees - 16.67%, and global enterprises with 10,000+ employees - 16.67%.
Customers of Cedar Gate EZ-CAP include firms across all revenue levels — from $0-100M, to $101M-$1B, $1B-$10B, and $10B+ global corporations.
Contact APPS RUN THE WORLD to access the full verified Cedar Gate EZ-CAP customer database with detailed Firmographics such as industry, geography, revenue, and employee breakdowns as well as key decision makers in charge of Core Admin Processing System.