Administrative Digital SolutionsCommercialMedicare AdvantageMay 31, 2023

Introducing Roster Automation to improve turnaround times and data accuracy

This communication applies to Commercial and Medicare Advantage plans from Anthem Blue Cross and Blue Shield (Anthem).

To help become your most valued partner in the industry, we are launching new technology and processes for updating provider data — Roster Automation. Roster Automation is a new technology solution designed to streamline and automate large provider data additions, changes, and terminations that are submitted using a standardized Microsoft Excel submission. Any provider, whether an individual provider/practitioner, group, or facility, can use Roster Automation starting today.**

How roster updates happen today

Currently, roster updates are completed manually, without consistent standardization of intake processes or roster formats. Because of the current process, there are many touch points, which can lead to provider data fallout and require additional research and manual intervention, creating a delay in the update.

Where we’re headed with Roster Automation

Roster Automation was created to drive a standardized intake method that allows the ability to autoload changes. This technology will significantly reduce the turnaround time and drive quality through standardization and programmed business rules, improving provider data accuracy.

Benefits to our care providers

When a roster is submitted using the established requirements, Roster Automation will ensure the following, utilizing business rule logic:

  • Consistently updated data
  • Timely updates (processing times of less than five business days)
  • Compliance with federal and/or state mandates
  • Improved data quality through standardization
  • Increased provider directory accuracy

Submit a roster utilizing Roster Automation today in two easy steps:

  1. Utilize the standard roster template:
    • For your convenience, there is a standard roster Excel document. Find it online here.
  2. Follow the Rules of Engagement:
    • A reference document, Roster Automation Rules of Engagement, is available to ensure error-free submissions, driving accurate and more timely updates through automation. More detailed instructions on formatting and submission requirements can be found on the first tab of the standard roster template (User Reference Guide). Find it online here.

Submit your roster using your existing submission process for provider data updates.

Coming soon

For Availity* Essentials users, we will be enabling the Provider Data Management application. This functionality will allow you to upload your roster in Availity directly, streamlining the submission process. Watch for news and announcements within Availity, as well as information in our provider newsletter, for when this functionality will be available for your specific market/line of business.

If you aren’t registered to use Availity Essentials, signing up is easy and 100% secure. There is no cost for your providers to register or to use any of the digital applications. Start by logging into Availity.com and selecting the Register icon at the top of the home screen. You can also use this link to access the registration page.

** If any data updates require credentialing and do not pass our business rules logic for automation, your submission will be routed appropriately for further action.

MULTI-BCBS-CRCM-025267-23-CPN25213

PUBLICATIONS: June 2023 Provider Newsletter