# Rota Health > Rota Health automates the provider roster update process from formatting to payer confirmation, so healthcare teams know which providers can bill, which cannot, and why. Rota picks up where credentialing tools leave off. Credentialing handles enrollment. Rota handles everything after the roster update goes out: formatting files to each payer's spec, delivering through the required channel, monitoring whether the payer actually loaded the update, and capturing confirmation, exceptions, and proof. ## The Problem Rota Solves After a provider roster update is submitted to a payer, the trail disappears. There is no confirmation, no tracking, and no proof that the update was reflected. Teams wait 30 to 120 days with no visibility. Providers cannot bill. Nobody finds out until claim denials pile up. Manual roster operations cost a 100-provider organization roughly $250,000 per year in file formatting, portal entry, and payer follow-up. Each day a credentialed provider sits in directory limbo costs approximately $1,000 in lost billing capacity. ## How Rota Works 1. **Send**: Format roster changes to each payer's specification and deliver through their required channel (portal, file, fax, or API). 2. **Track**: Monitor payers continuously to see when updates are reflected. Flag when they are not. 3. **Prove**: Show exactly what each payer has on file, field by field. Surface discrepancies before they cause denials. ## Who Rota Is Built For ### Telehealth Companies Telehealth providers operate across multiple states with providers who often work for multiple companies. One company's roster update can overwrite another's in a payer directory. Rota monitors for competitive listing conflicts, reduces time to bill for new providers, and scales roster operations without scaling headcount. ### Health Systems Payer directories show wrong taxonomy codes, outdated locations, and phantom providers. Payers are writing directory accuracy liability into provider contracts. Rota provides field-by-field proof of what each payer has on file, a trail showing what was submitted and when it was processed, and one operating view across credentialing, enrollment, and payer follow-through. ## Company Background The Rota Health team were the first engineers at Diameter Health, where they spent a decade building clinical data normalization and FHIR infrastructure for the country's largest payers. Availity acquired Diameter Health. The team then discovered that the gap between submitting a roster update and knowing when it has been reflected was a problem nobody was solving from the provider side. ## Key Pages - [Home](https://rotahealth.com/) - [About](https://rotahealth.com/about) - [Telehealth Solutions](https://rotahealth.com/solutions/telehealth) - [Health Systems Solutions](https://rotahealth.com/solutions/health-systems) - [Blog](https://rotahealth.com/blog) - [Glossary](https://rotahealth.com/glossary) - [Contact / Book a Demo](https://rotahealth.com/contact) ## Glossary of Key Terms - **Roster reconciliation**: Comparing submitted provider data against what payer directories actually show, field by field. - **Post-submission visibility**: The ability to see whether a payer has processed a roster update after it was submitted. - **Billing readiness**: The point at which a provider's payer directory listing is accurate enough for claims to be accepted. - **Payer confirmation**: Verification that a payer has received, processed, and correctly reflected a roster update in their systems. - **Competitive listing**: When multiple employers submit roster data for the same provider, and one submission overwrites another in the payer directory. - **Directory accuracy**: The degree to which a payer's provider directory matches the data that provider organizations have submitted. - **Ghost directory**: A payer directory listing for a provider who is no longer active, no longer at that location, or never accepted patients there. - **Time to bill**: The elapsed time between a provider being credentialed and the provider being listed correctly enough in payer directories to have claims accepted. - **Taxonomy code**: A standardized code that classifies a healthcare provider's specialty, used by payers in directory listings and claims processing.