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. New to the category? Start with what a CMS universe scrubber is.
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
- IDS findings on the audit record after repeated failed submission attempts
- 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, SNPCC, or CPE 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
What the Scrubber Validates
Built for Medicare Advantage and Part D plans, with validation rules mapped directly to CMS requirements and CFR citations.
1600+ Validation Rules
Rules across all five protocols (ODAG, CDAG, FA, SNPCC, CPE), including timeliness validation aligned with 42 CFR § 422.568, § 422.572, § 422.629, and § 423.568.
Instant Processing
Validate files in seconds, not hours. Upload and get row-level results immediately, with no manual review pass.
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 summaries, error detail, and compliance documentation for CMS audits.
All CMS Universe Protocols Supported
Validation for every universe file type CMS requires
ODAG
Part C Organization Determinations, Appeals & Grievances
- • OD - Organization Determinations
- • RECON - Reconsiderations
- • PYMT_C - Payment Determinations
- • EFF_C - Effectuations
- • GRV_C - Grievances
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
- • NE - New Enrollees
- • PDE - Prescription Drug Events (on CMS request)
SNPCC
Special Needs Plans Care Coordination
- • SNPE - SNP Enrollees
- • Models of Care (supplemental)
- • SNPCC Questionnaire
CPE
Compliance Program Effectiveness
- • COA - Compliance Oversight Activities
Enterprise-Grade Security
Your universe files contain sensitive member data. We take that responsibility seriously.
Independently Audited Security Controls
Sevana Health has completed a SOC 2 Type 2 examination, an independent assessment of whether our security controls operate effectively over time, not just on paper. The examination covers the systems that process, store, and transmit your CMS universe files.
A SOC 2 Type 2 report covers an extended observation period rather than a point in time, giving you evidence that our security practices are consistent across the audit window. The full report is available under NDA on request.
Encrypted in Transit & at Rest
All data encrypted using industry-standard protocols
Access Controls & Monitoring
Role-based access with continuous logging and alerting
Vendor Risk Management
Third-party infrastructure and services independently assessed
Incident Response
Documented procedures for security event detection and response
Part of CMS Audit Readiness
Universe Scrubber sits inside a broader audit-prep workflow
See how universe validation fits with Compliance Work Plan for CAR remediation, Risk Assessment for pre-audit gap analysis, and the 30-day timeline from engagement letter to fieldwork.
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 tracks TPA performance over time with month-over-month trending, error rate analysis, and comparative benchmarking. You can see whether delegated entities are improving or sliding on data quality.
How quickly can I get validation results?
Validation is instant. Upload a file and get results within seconds: error summaries, row-by-row details, and exportable reports ready for your team or TPAs.
Is my data secure?
Yes. Sevana Health has completed a SOC 2 Type 2 examination, an independent audit confirming our security controls operate effectively over an extended observation period. All files are transmitted via encrypted connections, processed in a secure environment, and stored with enterprise-grade security measures. You can review our security posture at our Trust Center.
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. API access is available for automated file uploads and validation result retrieval, so the scrubber can plug into 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