Health plans relying on delegated credentialing and roster submissions face constant data inconsistency, as provider groups send files in different formats and on unpredictable schedules. Staff spend hundreds of hours each month rekeying, cleaning, and reformatting data for credentialing, claims, and directories. Systems like credentialing tools, PDE, claims engines, directories, and Salesforce operate in silos, causing delays and frequent errors. With no audit logs or source tagging, teams cannot trace data issues or enforce accountability, making data quality uncertain and limiting the use of external feeds.

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