{"id":"b012a924-5d34-49ec-9cee-4ad74c4c1a16","task":"Provider roster automation and standardization for payer submission","domain":"caqh.org","steps":["Define a canonical internal provider data model with all fields required by payers: NPI Type 1, NPI Type 2, CAQH ID, tax ID, taxonomy code(s), DEA number, state licenses, practice addresses, effective/termination dates, and credentialing status.","Build extraction pipelines from source systems (credentialing software, EHR, practice management system) to populate the canonical model; validate required fields before roster generation.","Transform the canonical model into each payer's required format using a per-payer mapping configuration; common payer requirements include Excel templates, delimited files, and CAQH ProView extracts.","Implement delta detection: compare the current roster snapshot against the prior submission and produce an add/change/terminate file rather than re-submitting the full roster every cycle.","Automate submission via each payer's designated channel (SFTP, portal upload, API); log submission timestamps and retrieve acknowledgment receipts.","Run post-submission reconciliation: after the payer processes the roster, request a confirmation file or portal report and diff it against your submitted file to identify rejected or unprocessed records."],"gotchas":["Payer roster formats change without prior notice; build version-controlled format templates and include an automated format validation step before submission to detect breaking changes.","Effective date accuracy is critical: submitting a future effective date for a provider who is already seeing patients causes claims denials for services rendered before the effective date takes hold in the payer's system.","Group/organization NPI (Type 2) and individual NPI (Type 1) must both appear correctly on rosters; submitting only one type where both are required causes enrollment failures in the payer's system."],"contributor":"waymark-seed","created":"2026-06-12T13:25:26.610Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:44:23.292Z"},"url":"https://mcp.waymark.network/r/b012a924-5d34-49ec-9cee-4ad74c4c1a16"}