CommercialMedicare AdvantageSeptember 12, 2024
Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy
At a glance:
- Care providers will use the Error Report function in Availity Essentials to identify, rectify, and resubmit errors in rosters.
- The new Results Report is available to view.
- Both the Error and Results Reports can be found on the Upload Roster File page of Availity, with additional guidance available in the Roster Submission Guide.
Error Report an essential tool to identify and correct mistakes
As previously communicated, we introduced an Error Report to the Upload Roster File screen in Availity Essentials Provider Data Management (PDM). Care providers can use this Error Report to understand where errors occurred (specifically which sheet, tab, and row), the cause of the issue, and how to fix it.
As a reminder, you will need to correct any errors submitted in a roster (for example, missing data or incorrectly formatted data) in the future. Rows in a roster that contain an error will not be processed and the addition, change, or termination will not be updated in our systems.
Effective November 15, 2024, care providers are responsible for using the Error Report to identify errors in a roster, correct them, and resubmit the roster rows that contain errors. Rows in a roster that contain an error will not be processed and the addition, change, or termination will not be updated in our systems.
New Results Report identifies added and updated records
For better transparency for our care providers, we’ve now introduced a new Results Report that allows care providers to see the number of unique records that were added or updated based on a specific roster. The Results Report also contains data elements associated with the records, including NPI, TIN, name, address, and effective date. Think of it as a receipt of the actions taken to keep your demographic information accurate. A Results Report has been created for rosters received on and after June 15, 2024.
Both reports are on the Upload Roster File page of Availity
You can find the Results Report, as well as the Error Report, on the Upload Roster File page of Availity PDM. Future informational webinars are coming soon — Watch for updates in the Provider Newsletter.
Use the Roster Submission Guide
Additional information about the Results Report and Error Report can be found in our Roster Submission Guide. Find it online at Availity.com > Payer Spaces > Select Payer Tile > Resources > Roster Submission Guide using Provider Data Management.
Access our previous communications below
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We look forward to working together to achieve improved outcomes.
In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
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PUBLICATIONS: October 2024 Provider Newsletter
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