ElevateCare 360's Roster Module

Know exactly who's on your panel. Right now.

Every value-based contract starts with attribution — which patients each provider is accountable for. ElevateCare 360's Roster Module reconciles payor files, the medical record, and claims in near real time, so care teams work from a verified roster instead of one that's wrong on the day it's received.

The Challenge

A roster that's out of date before anyone uses it.

Attribution data arrives late, from several payors, in several formats — and rarely agrees with itself. Care teams end up managing a population that no longer exists.

Attribution lag

Rosters finalize 30–90 days after the period ends. By the time a list is ready, it already describes last quarter's patients.

Patients switch doctors

8–12% of patients change primary care doctors each year. Most rosters don't reflect it until claims catch up months later.

Conflicting payor files

One patient can appear on three payor files with three different doctors. Untangling it by hand typically takes 20–30 hours of staff time every month.

Outreach to the wrong people

Care managers call patients who have already left, while newly attributed patients wait weeks for their first contact.

How It Works

One verified roster. Updated in hours.

The Roster Module becomes the single place your organization manages attribution — connected to the data you already receive and kept current automatically.

  1. Step 1

    Bring in every source

    Payor attribution and eligibility files, the medical record, and claims flow in through standard healthcare data interfaces — no manual uploads or spreadsheet merges.

  2. Step 2

    Reconcile to one record per patient

    Identities are matched across sources and conflicting doctor assignments are resolved by rule. Anything that can't be resolved automatically is flagged for review.

  3. Step 3

    Track every change

    New, departed, and reassigned patients are surfaced daily, with a full history of who was attributed to whom and when.

  4. Step 4

    Route it to the right team

    Updated panels feed care management, annual visit scheduling, quality, and risk work across ElevateCare 360 — so every module reads from the same roster.

Roster Module · This week

Sample data

Newly attributed

+142

Left the panel

−87

Switched primary care doctor

53

Payor conflicts to review

9

Patients reconciled to one record98.6%

Last reconciled 6 hours ago

ElevateIQ · Ask who joined, left, or switched primary care doctors this week — and get a verified, current list back in plain language.

< 24 hrs

Roster reconciliation cycle

Compared with the 30–90 day industry norm

1 record

Per patient, across every payor

Payor files, medical record, and claims unified

Daily

Attribution change tracking

New, departed, and reassigned patients — always current

Common Questions

Frequently asked questions

What is roster management in value-based care?

Roster management is the work of keeping an accurate list of which patients each provider and care team is accountable for under each value-based contract. Quality scores, risk adjustment, and shared savings are all calculated against that list, so an inaccurate roster undermines every other program.

Why do rosters go out of date so quickly?

Payors send attribution files on their own schedules and in their own formats, often weeks after the period they describe. Meanwhile patients change doctors, change plans, and lose or gain eligibility. Without continuous reconciliation, the roster drifts further from reality every day.

How often does the Roster Module update?

Reconciliation runs as new data arrives, with a full cycle completing in under 24 hours. Care teams see new, departed, and reassigned patients the next day rather than at the end of the quarter.

What data sources does it use?

Payor attribution and eligibility files, the medical record, and claims. ElevateCare 360 connects to these through standard healthcare data interfaces, so your teams manage attribution in one place instead of reconciling spreadsheets.

Who is roster management built for?

Accountable care organizations, independent physician associations, health systems, community health centers, and payors — any organization that is responsible for the cost and quality of care for an attributed population.

See it with your data.

Contact the Elevate team to see how ElevateCare 360 can help your organization.