Introducing Verifiable Roster Management for Health Plans

Automated data imports to ensure accuracy and compliance at scale
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Verifiable is introducing Roster Management for Health Plans, a modern, automated approach to roster ingestion designed for scale, accuracy, and compliance. Health plans can leverage Roster Management to streamline and standardize processing rosters received from delegated groups, leased networks, and health systems, all within the Verifiable platform built on Salesforce.

Health plans receive hundreds to thousands of provider rosters every month. These rosters represent the most current view of the network, including provider enrollment statuses, locations, specialties, and contact information.

Yet processing a single roster can take weeks to months. Importing provider data is still largely manual, forcing teams to reconcile spreadsheets, normalize inconsistent formats, and track changes by hand. With limited visibility into what’s actually changing, network updates are slow, operations teams are stretched thin, and compliance risk increases.

On top of this, delegation or leased networks don’t remove accountability. Under CMS, NCQA, and state regulations, health plans remain responsible for timely updates, sanctions screening, and maintaining audit-ready documentation across their entire provider network.

Import and Standardize Provider Data with Greater Speed

Verifiable takes a differentiated approach to tackling core challenges when managing rosters:

• Flexible Data Handling at Scale - Support diverse formats and standardize data through reusable templates, dynamic data mappings, and custom deduplication rules.
• Built-In Quality Control - Identify errors such as missing fields, incorrect formatting, or unmapped columns before the import runs, preventing bad data from entering downstream workflows. 
• Streamlined Error Resolution - Download actionable error reports and failure logs to quickly resolve issues with provider groups - without endless back-and-forth emails.
• Instant Roster Insights - Automatically calculate and preview which providers will be added, updated, or terminated—eliminating manual reconciliation of “full rosters.”‍
• Integrated Compliance Monitoring - Trigger sanctions and license monitoring on ingested providers directly from the platform to support NCQA, CMS, and state requirements. ‍
• Powerful, Intuitive User Experience - Empower any member of an operations team to manage the roster ingestion process end-to-end with the simplified user interface
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Conclusion

This new Verifiable's Roster Management for Health Plans solution delivers a more seamless end-to-end roster management process for health plans. Teams can put the days of endless manual cleanup and investigation work behind them, and instead focus on more impactful strategic work.

If your organization is looking to uplevel your roster processing efforts, learn more about how Verifiable Roster Management can support your organization’s needs Get a Demo of Roster Management.