Save time and money with roster automation

by Jake Tunney, Product Manager, Leap Orbit

Delegated roster submission can be a challenging process, creating friction between plans and providers, and frustrating members by creating delays in updates to your directory and claims system.

A lot of times it looks like this:

  1. The plan receives roster updates via SFTP
  2. Plan staff reviews data, maps to its requirements
  3. Send data corrections to providers
  4. Wait for days, sometimes weeks for groups to make these
  5. Upload data into your system
  6. Make sure the provider directory and claims system have this data
Convergent’s Delegated Roster Upload Tool

Even when using alternatives like CAQH Proview, plans need providers to register and be proficient in using CAQH.  Meanwhile, recent numbers show less than 1/3 of healthcare providers in the United States use CAQH ProView (Source)

Now with Convergent’s Delegated Roster Upload tool, you can do this all in one step:

  • Provider groups upload data
  • Make corrections right in the UI
  • They can’t submit this data until it is accurate and meets your specs
    • (We can make as many templates as you need to meet your specs)
  • Take this clean data and ingest info into your directory and claims system using Convergent or any other PDM.

The result is an improvement in roster intake speed by up to 96% and over 90% cost savings on manual processes.

Contact us here if you’d like to explore more!!!

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The Convergent Provider Data Platform reduces the costly burden of maintaining provider data. Convergent is a product of Leap Orbit, the trusted innovation partner to the leading health data networks.

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