List of Cedar Gate EZ-CAP Customers
Beaverton, 97006, OR,
United States
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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Insurance | 550 | $200M | Puerto Rico | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2012 | n/a |
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Healthcare | 460 | $60M | United States | Cedar Gate Technologies | Cedar Gate EZ-CAP | Core Admin Processing System | 2009 | n/a |
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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
- 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
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