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Case Study

Ballad Health: Automation and Standardization Cuts Time Spent Preparing Rosters in Half

Ballad Health was seeking a more accurate, streamlined way to submit roster updates to the 30 health plans with which it maintains delegated credentialing relationships

The Challenge

Ballad Health, a 21-hospital system with 800 physicians, maintains delegation arrangements with 30 health plans.

Each plan requires Ballad’s contracting and support services team to create and upload a roster in a different format and on a different schedule. The team spent at least four hours every week submitting rosters and following up to make sure they were received.

The Solution

CAQH helped Ballad’s team set up an automated process to pull data weekly from their internal system and upload into the CAQH Provider Data Portal.

Data is quality checked, then standardized into a single format that includes all data elements the plans require. Ballad then submits the roster to multiple plans at one time. Each roster is date stamped when a plan accesses it, so Ballad’s team can rest assured roster changes were received.

The Results

By automating roster submission for six of the health plans, Ballad Health has cut the time needed to process rosters in half while also increasing data quality.
4 +

hours per week submitting rosters

before implementing CAQH Provider Data Portal

hours per week submitting rosters

after implementing CAQH Provider Data Portal

Driving change with technology

CAQH solutions automate workflows, deliver a wealth of accurate and actionable data, and create a better experience for both providers and health plans.

Find out how better data can transform your directories.

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