Every keystroke counts when a health plan network manages more than 30,000 providers. For Health Payment Systems (HPS), a Wisconsin-based health plan network, outdated manual processes were slowing operations, jeopardizing compliance, and frustrating members.

The challenge came into sharp relief with the No Surprises Act (NSA), which requires health plans to verify provider data every 90 days. For HPS, the old way—manual roster updates and error-prone workflows—was unsustainable. The risks were clear: compliance penalties, inaccurate directories, and a diminished member experience.

To modernize, HPS turned to Madaket, a data automation platform provider. The partnership shifted from cumbersome manual updates to a streamlined, real-time system.

HPS’s provider directory was a massive undertaking. Every update, from name changes to credentialing adjustments, passed through manual workflows, an approach that slowed turnaround and left room for errors.

The NSA introduced additional pressure. Federal regulations demanding timely verification required HPS to be accurate and fast. Without an overhaul, compliance and member trust were both at risk.

Madaket’s automation platform re-engineered HPS’s roster management from the ground up. Instead of staff manually processing spreadsheets, updates were automated, verified, and published in real time. Providers could attest to their data quickly and efficiently, reducing friction across the network.

The results were transformative:

• 150% increase in processing speed for provider roster updates
• 34% higher engagement from providers in the attestation process
• Near-instant updates to member-facing directories
• Reduced compliance risk, ensuring HPS stayed aligned with NSA requirements

The benefits are tangible for members. Provider searches are now immediate and accurate, removing the frustration of outdated listings. Internally, HPS staff have been freed from repetitive administrative work, allowing them to focus on higher-value priorities.

Most importantly, compliance with the NSA is no longer a looming concern; it’s built into the system.

By automating its provider data workflows, HPS has met regulatory demands and built a foundation for scalability. The health plan’s journey offers a glimpse into the broader future of healthcare administration, where automation promises to reduce friction, save costs, and improve member experiences.

In an industry where inefficiency often translates directly into patient frustration, HPS and Madaket have demonstrated what’s possible when technology is applied with precision and purpose.

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