Validate Universe Files in Seconds, Not Hours
Stop spending hours manually reviewing ODAG, CDAG, FA, SNPCC, and CPE files. Our automated scrubber runs 1600+ validation rules instantly, catching IDS risk errors and compliance issues before you submit to CMS.
The Cost of Manual Universe File Validation
Medicare Advantage and Part D health plans face significant risks when submitting universe files to CMS without proper validation.
Without Automation
- Hours of manual review for each submission cycle
- Missed validation errors that lead to CMS file rejection
- $25,000+ penalties per Invalid Data Submission (IDS) violation
- Audit findings during CMS program audits
- No visibility into TPA/PBM data quality trends
With CMS Universe Scrubber
- Seconds to validate files with 1600+ automated rules
- Row-by-row validation catches every IDS risk error
- Prevent violations before submission to CMS
- Instant evidence packages ready for CMS audits
- TPA performance tracking to measure data quality trends
How the Universe Scrubber Works
Upload your universe files and receive instant validation results with detailed error reporting
Upload Universe Files
Upload ODAG, CDAG, FA, or SNPCC files directly through the web interface or API integration.
- Excel (.xlsx) format
- Bulk upload supported
- Secure encrypted transfer
Automated Validation
The scrubber runs 1600+ validation rules against CMS specifications (42 CFR requirements) for all protocols including ODAG, CDAG, FA, SNPCC, and CPE.
- Header validation
- IDS risk error detection
- Timeliness compliance
Instant Results
Receive detailed validation reports with row-by-row error identification and remediation guidance.
- Error summary dashboard
- Exportable reports (PDF/Excel)
- Audit-ready documentation
Comprehensive Validation Capabilities
Built specifically for Medicare Advantage and Part D health plans, with deep understanding of CMS requirements
1600+ Validation Rules
Comprehensive validation aligned with 42 CFR § 422.568, § 422.572, § 422.629, and § 423.568 requirements for all universe protocols including ODAG, CDAG, FA, SNPCC, and CPE.
Instant Processing
Validate files in seconds, not hours. Upload and receive comprehensive results immediately, eliminating manual review time.
Row-by-Row Analysis
Detailed error identification down to specific rows and fields, making it easy to pinpoint and correct issues quickly.
IDS Risk Detection
Automatically identifies Invalid Data Submission (IDS) risk errors that would result in CMS file rejection and potential penalties.
TPA Performance Tracking
Monitor delegated entity performance over time with trend analysis, error rate tracking, and comparative benchmarking.
Audit-Ready Reports
Generate instant evidence packages with validation certificates, error summaries, and compliance documentation for CMS audits.
All CMS Universe Protocols Supported
Comprehensive validation for every universe file type required by CMS
ODAG
Part C Organization Determinations, Appeals & Grievances
- • OD - Organization Determinations
- • RECON - Reconsiderations
- • PYMT_C - Payment Determinations
- • EFF_C - Effectuations
- • GRV_C - Grievances
- • AIP - Dual SNP Reductions
CDAG
Part D Coverage Determinations, Appeals & Grievances
- • CD - Coverage Determinations
- • CDER - Exception Requests
- • PYMT_D - Payment Determinations
- • RD - Redeterminations
- • EFF_D - Effectuations
- • GRV_D - Grievances
FA
Part D Formulary & Benefit Administration
- • RCFA - Rejected Claims Formulary
- • RCT - Rejected Claims Transition
- • PDE - Prescription Drug Events
- • NE - New Enrollees
SNPCC
Special Needs Plans Care Coordination
- • SNPE - SNP Enrollees
- • Supplemental Documentation
- • HRA Compliance Tracking
CPE
Compliance Program Effectiveness
- • COA - Compliance Oversight Activities
Frequently Asked Questions
How does the Universe Scrubber differ from manual validation?
Manual validation is time-consuming, error-prone, and requires deep knowledge of CMS specifications. The Universe Scrubber automates this entire process with 1600+ built-in validation rules, providing instant results with row-by-row error identification. What takes hours manually takes seconds with automation.
Which universe file types are supported?
We support all five major CMS universe protocols: ODAG (Organization Determinations, Appeals & Grievances), CDAG (Coverage Determinations, Appeals & Grievances), FA (Formulary Administration), SNPCC (SNP Coordination of Care), and CPE (Compliance Program Effectiveness).
Can I track TPA performance over time?
Yes! The platform includes comprehensive TPA performance tracking with month-over-month trending, error rate analysis, and comparative benchmarking. You can measure whether your delegated entities are improving or declining in data quality.
How quickly can I get validation results?
Validation is instant. Upload your file and receive comprehensive results within seconds, including error summaries, row-by-row details, and exportable reports ready for your team or TPAs.
Is my data secure?
Absolutely. All files are transmitted via encrypted connections, processed in a secure environment, and stored with enterprise-grade security measures.
What happens if CMS updates their validation rules?
Our team continuously monitors CMS guidance updates (HPMS memos, technical specifications) and updates the validation rules automatically. You always have access to the most current CMS requirements without any action needed on your part.
Can I integrate this with our existing systems?
Yes, we offer API access for automated file uploads and validation result retrieval, allowing seamless integration with your existing workflows and data systems.
Ready to Eliminate Universe File Errors?
See the CMS Universe Scrubber in action and discover how automated validation can save your team time and prevent costly violations.
Join Medicare Advantage and Part D health plans already using Sevana Health to ensure CMS compliance