top of page

DOFR DICE

Intelligent Automation for Complex Healthcare Risk Sharing

Transform Division of Financial Responsibility contract management into a streamlined, intelligent, and automated process. Built on Key Software's healthcare expertise, DOFR DICE provides managed care organizations, provider groups, and health plans with a centralized, integrated solution to eliminate configuration complexity, accelerate claims processing, and achieve unprecedented accuracy in financial risk allocation.

The DICE Framework

Comprehensive DOFR Management in Four Intelligent Steps

1

DEFINE

Define line or claim-level service and components for professional and hospital claims using 50+ factors.

INTEGRATE

Seamless connectivity through file upload or direct database connection. Automated data synchronization.

2

CONFIGURE

Establish financial responsibility rules, denial logic, and routing workflows for all risk-sharing contracts.

3

EVALUATE

Lightning-fast claim evaluation API determines accurate financial responsibility in real-time.

4

Transform Your DOFR Operations

Current Challenges

  • Scattered configuration, inconsistent evaluation and manual review

  • Definition ambiguity causing adjudication challenges

  • Time consuming setup, maintenance and manual claims processing

  • Limited visibility into contract performance and compliance

  • Data silos and process fragmentation

The DICE Advantage

  • A centralized system for configuration of all DOFR contracts

  • Clear, concise and easily maintainable definitions

  • Automated real-time claim processing with consistent accurate results

  • Comprehensive analytics and performance reporting dashboards

  • Seamless integration and data exchange

Measurable Business Impact

Proven results that transform your operations and deliver immediate ROI

Faster Processing

85%

TIME REDUCTION

Transform claims evaluation from hours to seconds. Our automated processing engine handles complex DOFR calculations instantly, freeing your team to focus on exceptions and strategic initiatives rather than routine processing.

Higher Accuracy

99.8%

ACCURACY RATE

Eliminate manual errors and inconsistent interpretations with rule-based automation. Every claim is evaluated using the same logic, ensuring consistent, auditable results across all contracts and time periods.

Better Visibility

Real-Time

ANALYTICS & INSIGHT

Gain unprecedented insight into contract performance, financial responsibility trends, and processing patterns. Interactive dashboards provide at-a-glance understanding of your entire DOFR portfolio with drill-down capabilities.

Cost Savings

60-70%

OPPERATIONAL COST REDUCTION

Dramatically reduce staffing requirements, minimize costly errors and rework, and accelerate cash flow through faster, more accurate processing. Most clients achieve full ROI within 6-9 months of implementation

Ready to Transform Your DOFR Operations?

Discover how DOFR DICE can streamline your Division of Financial Responsibility management and deliver measurable results.

bottom of page