CMS-4208-F2 & the REAL Health Providers Act

Publish 100% Compliant
Medicare Plan Finder
FHIR Provider Directories. Automatically.

Stop worrying about manual uploads, formatting failures, and the strict 90-day verification clock. Aiva Quote ingests your daily roster feeds and generates a fully compliant FHIR Provider Directory — automatically, with zero-downtime publishing guaranteed.

Directory Status

Medicare Plan Finder

100% Compliant
Active Crawl Status Live — CMS crawler synced
  • Schema validation: Da Vinci PDex Plan-Net
  • 90-day attestation clock: on track
  • Out-of-network scrub: within 5-day SLA
  • Atomic release: crawler-safe

Built for the enterprise compliance and interoperability teams behind MA provider directories

Network OperationsCompliance & AuditInteroperability / ITDa Vinci PDex Plan-Net
The Pillars of Directory Compliance

Three regulatory clocks. One platform that never misses one.

CMS-4208-F2 and the REAL Health Providers Act turned directory maintenance from a back-office task into an existential enrollment risk. Here's how we remove it.

Zero-Downtime Atomic Publishing

The Pain

If CMS crawls your URL while a file is being rewritten, the crawl fails, triggering a major compliance strike.

The Shield Value

We handle directory updates using atomic publishing — guaranteeing that the CMS crawler only ever sees a complete, valid, and fully-formed file release.

The Automated 90-Day Attestation Clock

The Pain

Under the REAL Health Providers Act, directories must verify provider details every 90 days or publicly label the record as "unverified".

The Shield Value

Our platform continuously monitors attestation metadata, automatically flagging expiring records and applying the required schema tags without breaking your pipeline.

The 5-Day Out-of-Network Removal Window

The Pain

Health plans must legally remove departed providers from their public directories within 5 business days of network exit.

The Shield Value

Daily automated roster ingestion scans and reconciles network changes instantly, keeping directories fully synchronized with active provider contracts.

Legacy vs. Aiva Quote FHIR Provider Directory

Enterprise Compliance vs. Legacy Spreadsheets

How health plans manage provider directories today, compared to the Aiva Quote SLA.

Compliance Metric Manual / Legacy Processing Aiva Quote FHIR Provider Directory SLA
CMS Daily Crawl Success At-risk (no atomic validation) Guaranteed (100% well-formed, atomic releases)
90-Day Verification Manual tracking, risk of audit fines Continuous, automated metadata alerts
Update Latency 30+ days (highly static batches) Continuous overnight processing
Validation Transparency Blindly upload and wait for CMS errors Pre-flight syntax and schema validation
What CMS Actually Crawls

From messy carrier rosters to crawler-ready compliant output

We don't just store your data — we prove what we publish. Toggle between a typical inbound roster and the Da Vinci PDex Plan-Net schema output we generate from it.

carrier_roster_export.csv — unstructured, inconsistent formatting
provider_name,npi,specialty,network_status,last_verified,phone
Dr. J Smith,1234567890,Cardiology,active,,555-010-2938
DR MARY OKAFOR,1234567891,internal med,ACTIVE,2026-02-11,(555) 010 2211
Dr. R. Chen MD,1234567892,Cardiology,,2025-09-30,555.010.9981
Lakeside Clinic - Dr T. Nguyen,1234567893,Family Practice,active,2026-04-02,
SLA & Security

Built for the teams that own the audit

Network Operations, Compliance, and Interoperability teams all get the same guarantee: a directory that's always crawlable, always current, and always defensible.

Continuous Uptime SLA

Directory publishing runs on a resilient, automated pipeline built for continuous, overnight processing — not brittle manual batch jobs.

Enterprise-Grade Security

Provider data is handled with encryption in transit and at rest, strict access controls, and full audit logging across every ingest and publish event.

Built to Scale

From a single-state MA plan to a national multi-plan carrier, the same pipeline handles your provider roster without re-architecture.

See It In Action

Stop gambling with Plan Finder suppression.

Talk to our team about how Aiva Quote generates a fully compliant FHIR Provider Directory from your existing roster feeds — automating CMS-4208-F2 and REAL Health Providers Act compliance end to end.

Or reach us directly at hello@aivaquote.com