Stress-free, delegated roster management you can trust
Combine multiple delegated provider rosters into one consolidated source of truth reducing administrative burden, and realizing improved, cleaner data.
Offload administrative burden with the solution that can do it all for you
Clean Data In, Clean Data Out
Varying delegated roster formats, mixed in with directly rostered providers, can create messy provider data that has far-reaching downstream impacts. We help health plans standardize, validate, and ingest clean data into one cohesive provider roster, that your organization can leverage with confidence.
Diversified Format Processing
We take any roster format and map it to your preferred schema so you don’t have to worry about how the puzzle pieces fit together.
Self-Service Platform
Our user-driven model allows you to upload, validate and produce files with info like matching fields, highlighted errors, auto-correct, and clean and unclean files for outreach.
Custom Directory Export
Generate roster exports for downstream systems like provider directories or internal workflows. Easily extract and export provider data directly from delegated credentialed providers in various formats, saving time and facilitating easy data sharing.
One Consolidated Roster
We consolidate multiple delegated rosters into a single, unified roster, empowering your provider network management business decisions
Streamline your provider roster management in one place
We gather thousands of data points, attribute them to unique providers, and make them available for your organization’s unique needs.
FREQUENTLY ASKED QUESTIONS:
What are the typical pain points your clients see related to roster management?
The greatest and most common pain points arises around the lack of standardization in rosters that are submitted by delegated entities. Delegated entities return rosters to clients in incomplete, inconsistent, or incompatible formats to the client. This creates a significant burden for health plan teams who need to clean, validate, and ingest these rosters into the plan's template that ultimately will feed the plan's provider directory.
How do you ingest rosters from delegated entities?
CertifyOS' Roster Management product, RosterOS is a self-serve and user-driven product. The product allows authorized users, such as the client or delegated entity, to easily upload, validate, and produce clean files.
How do you ensure clean data ingestion?
The RosterOS product includes features like field matching, error detection and review, suggested error correction, and clean and unclean file retrieval. It standardizes, validates, and ingests clean data into a cohesive provider roster, eliminating the challenges posed by varying roster formats and erroneous data which are common in the industry.
What are examples of data validation that is included as part of roster management?
Data validation examples include enuring fields have accurate counts
File goes through process to verify the data format which includes:
-Verifying data formats (i.e. ensuring NPI is 10 digits)
-Looking for missing roster fields (i.e. last name was not entered)
-Verifying date formats (i.e. ensuring DOB is in the desired format)
Can I manage address and enrollment information for my provider roster?
Yes, CertifyOS' Entity Provider Data Management (EPDM) product allows clients to load organization level information such as practice location information, add any associated health plan enrollments and line of business that the organization is associated with. Clients can link providers to the organizations that they're associated with and will have the ability to click into the provider to view all provider data such as demographic information, license data, and information that is included in the provider roster.
Cut administrative burden and automate your processes within 30 days
