DELEGATED ROSTER MANAGEMENT
Modern roster management for delegated entities and payers.
Reconcile payer rosters in minutes, not weeks. CertifyOS automates delegated roster ingestion with AI-assisted field matching, deduplication, and anomaly detection. 99.8% data accuracy, under-1.2-day average TAT, NCQA-certified.
- AI-assisted roster ingestion, normalization, and deduplication
- 99.8% data accuracy with field-level survivorship rules
- Built for delegated credentialing entities and the health plans that delegate to them
Book a 20-minute demo
See AI-assisted delegated roster reconciliation in action.
Trusted by leading health plans, digital health companies, and provider networks
Roster reconciliation at modern speed
- 99.8%data accuracy with automated validation
- <1.2day average turnaround on roster reconciliation
- 90%reduction in manual roster reconciliation effort
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
Delegated rosters arrive in dozens of formats. Most are wrong.
Every delegated entity sends rosters in a different format — different fields, different naming conventions, different update cadences. Health plans spend weeks reconciling them.
Most plans handle this with manual schema matching, eyeballing duplicates, and chasing missing fields by email. CertifyOS automates the full roster workflow — AI-assisted field matching, deduplication, anomaly detection, and survivorship logic — turning days of manual work into minutes of automated processing.
Five capabilities for modern roster operations.
AI-assisted ingestion
AI-assisted schema matching normalizes roster files from any delegated entity, regardless of format. No more manual mapping per delegate.
Deduplication and anomaly detection
Duplicate providers identified and merged automatically. Anomalies flagged before they propagate to your directory or credentialing system.
Field-level survivorship
Configurable survivorship logic at the field level. You choose which source wins for each data element — delegated roster, CAQH, primary source, or internal data.
Audit-ready reconciliation
Every roster ingestion logged. Every match, merge, and survivorship decision timestamped. NCQA-certified audit trail for delegation oversight.
Built for delegated entities
Built for delegated credentialing entities and the health plans that delegate to them. Real-time API delivery to downstream systems.
CertifyOS vs. manual reconciliation.
CertifyOS
- Under 1.2-day average reconciliation TAT
- AI-assisted schema matching across any format
- Automated deduplication and anomaly detection
- Configurable field-level survivorship
- Full audit trail for delegation oversight
Manual reconciliation
- Days to weeks per roster file
- Manual schema mapping per delegate
- Duplicates spotted reactively (or missed)
- Hand-coded merge logic in Excel
- Audit prep means rebuilding the trail
FROM OUR CUSTOMERS
“Delegated rosters arrive in dozens of formats. CertifyOS handles AI-assisted matching, deduplication, and anomaly detection in minutes — turning days of manual reconciliation into automated processing.”
— CertifyOS Roster Operations Team