Automate Provider Payer Roster Management with PRIME®

PRIME® PPRM automates provider-payer roster reconciliation, demographic submissions, and data validation so your team stops chasing payers and starts getting paid.

✅ Automate roster reconciliation and demographic submissions to every payer

✅ Eliminate manual data entry errors that trigger claim denials and prior auth delays

✅ Maintain a single, audit-ready source of truth for all provider data

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Trusted partner to market-leading brands

PRIME® Manages the Full Roster Lifecycle in One Platform

PRIME® PPRM brings together AI-driven accuracy, process automation, and seamless data exchange to replace the spreadsheets, emails, and portal logins your team juggles every week. Each module eliminates a specific bottleneck in the roster lifecycle.

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Full Provider Data Consolidation

Pull provider demographics from EHRs, credentialing platforms, billing systems, and PDMs into one unified dataset. No more reconciling four systems manually to build a single roster file.

 

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Automated Roster Reconciliation

PRIME® continuously compares your current roster against prior submissions to every payer. Every change, addition, and termination is flagged automatically before it becomes a claim denial.

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Automated Roster Submissions

Convert validated provider data into each payer’s designated template and submit on your schedule on daily, weekly, or monthly. Custom business rules and formatting applied automatically.

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Payer Performance Dashboard

Track each payer’s response time, load turnaround, error rates, and operational KPIs in one dashboard. Know which payers are delaying your revenue — and have the data to prove it.

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Seamless System Integration

Real-time data exchange with EHRs, billing systems, CRMs, and payer platforms keeps your entire ecosystem synchronized. FHIR-compatible and built for interoperability.

 

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Comprehensive Audit Trails

Full visibility into every data change, submission, and correction. Detailed logs give your compliance team what they need for audits and troubleshooting without pulling records manually.

 

Why Choose PRIME®

85% Less
Staff Time 

On roster updates and submissions

95%+ Accuracy

Auto correction

Bidirectional Data exchange

Submit, receive, reconcile

Any
Format

Ingested and normalized automatically

PRIME Roster Management Platform

See Provider Payer Roster Management in Action

Check out how PRIME® PPRM transforms manual roster submissions and fragmented payer data exchange into a centralized, automated workflow. 

We have used PRIME® to validate our provider data and the accuracy level has moved up to 98%, which is unheard of. The biggest differentiator in PRIME® is their primary data verification model, which means they reach out to every single provider.

 

- Provider Data Quality Leader, Leading NY Health Plan 

Trusted by Leading Health Systems and Provider Groups

Major Player in IDC MarketScape for U.S. Provider Data Management for Payers 2025–2026 Vendor Assessment

Winner of 2025 “ Best Provider Data Management Platform” Award by MedTech

“Distinguished Vendor” in Gartner's Hype Cycle for US Healthcare Payers 2024

See how PRIME® Simplifies Your Provider Payer Roster Operations
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