As the healthcare landscape evolves, provider network leaders are navigating a new reality: data compliance is no longer a quarterly task — it’s a daily, system-wide priority.
The release of the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) is a landmark moment. Among its mandates:
. Real-time API-based access to provider, patient, and coverage data
. 90-day provider directory validation and attestation
. Faster and more transparent prior authorization processes
“The cost of noncompliance isn’t just regulatory—it’s operational inefficiency, member churn, and lost revenue.”
— David Van Houtte, SVP Strategic Partnerships, Santech
For payors and DSOs still relying on spreadsheets, email chains, and siloed systems, the message is clear: manual doesn’t scale — and it doesn’t comply.
Let’s break down what provider operations leaders are actually dealing with:
. Roster files from delegated entities that arrive in different formats, often with outdated or conflicting data
. 20+ hours/week chasing down credential verification and license status
. Quarterly fire drills for CMS and NCQA directory attestations
. Member complaints caused by ghost networks and inaccessible providers
. Lack of field-level audit trails for every provider record change
The cost?
. Denied claims
. CMS penalties ($25,000 per beneficiary per day)
. Poor provider satisfaction
. Lost internal confidence and missed SLAs
I-Network by Santech is purpose-built to solve these exact problems for health plans, MSOs, and payor networks.
Here’s what it delivers — out of the box:
No more data chaos. I-Network ingests rosters from delegated entities in TXT, CSV, fixed-width, or pipe formats — and:
. Matches incoming data using multi-layer logic (NPI, license, taxonomy, address)
. Flags duplicates, missing fields, and mismatches in real time
. Standardizes specialties, board statuses, and more using crosswalks
. Saves 80% of the time typically spent cleaning and verifying incoming data
“With I-Network, roster chaos becomes real-time clarity.” — Neeraj Sharma, CEO, Santech
I-Network connects directly with CAQH, NPPES, and PECOS via smart integrations, ensuring that credential data is always:
. Current (no lag between source update and system)
. Synced across systems (directory, contracting, claims)
. Audit-tracked (with field-level change history)
Rather than retrofitting compliance into legacy workflows, I-Network was designed for:
. 90-day automated attestation outreach via email, CAQH, and provider portal
. Self-service updates by providers and office managers
. API readiness for secure, structured exchange with partners and regulators
. Digital signatures and document uploads in-platform
Whether it’s NCQA, CMS, or an internal audit, I-Network gives you:
. Full visibility into provider update status, directory accuracy, and onboarding timelines
. Field-by-field audit logs
. Expiration tracking and renewal alerts
. Role-based permissions and lifecycle tracking
At AHIP 2025 in Las Vegas (June 17–19, Booth #1800), the Santech team will be showing how payors can:
→ Cut onboarding time by 50%
→ Eliminate 90% of spreadsheet-based tracking
→ Avoid CMS directory penalties
→ Build trust with providers through better data
→ Empower teams with clean, compliant systems
We’re not just sending sales reps. At AHIP 2025, you’ll meet the actual leaders shaping the future of provider data:
Neeraj is a visionary product leader with a background in building data platforms and compliance engines. He’ll walk you through how I-Network is designed for what comes next — not what barely works today.
Live demos of:
. Roster ingestion in real-time with field validation
. Directory attestation workflows and dashboards
. Credential sync in action with external data sources
. Provider self-service update and e-signature portal
. Field-level audit reporting and user-level activity logs
Slots fill up fast. Last year, we were fully booked by Day 2. If you want to:
. Ask questions about CMS-0057-F
. Compare your workflows to real-time best practices
. Explore partnership and pilot options
. Or just get clarity on how provider data should actually work…
[Book Your AHIP 2025 Meeting with Santech]
Let’s build cleaner, smarter provider networks — together.
#AHIP2025 #ProviderData #HealthcareCompliance #CMS0057F #DigitalHealth #PayorTech #RosterAutomation #INetwork #Santech
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