Skip to content

Payers are writing directory accuracy fines into your contracts. Can you prove what you sent?

Payer directories are wrong about half the time, and payers are responding by pushing the liability onto providers. If the listing is wrong, you need to prove you sent the right data. Most health systems can't.

A Senate Finance Committee study found ghost rates above 80% for mental health providers in Medicare Advantage directories. Payers are reacting by shifting liability to providers through contract language.

Payer directories show wrong taxonomy codes, outdated locations, and phantom providers. A JAMA study found 81% of physician listings inconsistent across the five largest insurers' directories.

Payers are writing directory accuracy fines into provider contracts. When the listing is wrong, the fine lands on you.

Credentialing, enrollment, revenue cycle, and provider ops all touch roster data. When someone asks where a provider stands, the answer lives in four different inboxes.

Your team sees one clean workflow.
The payer complexity is handled underneath.

A proof trail for every submission

Every submission, acknowledgment, and payer response is captured. When a payer claims the listing was wrong, you have the record showing what you sent and when.

Field-by-field proof of what each payer has on file versus what you submitted

One audit trail across credentialing, enrollment, and payer follow-through

Discrepancies surfaced in days instead of discovered through denials

One view across every team

Credentialing hands off to enrollment, enrollment hands off to ops. Rota creates one visible trail so the answer isn't in someone's inbox.

Discrepancies caught before they become fines

Rota checks what payers have on file against what you submitted. When something doesn't match, your team knows before it becomes a denial or a penalty.

  • Field-by-field proof of what each payer has on file versus what you submitted
  • One audit trail across credentialing, enrollment, and payer follow-through
  • Discrepancies surfaced in days instead of discovered through denials

See how this workflow would map to your payer mix.

The right implementation path depends on where the pain shows up first. Start with the biggest blocker, prove the trail, then expand coverage.