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SECURE GOVERNMENT REFERENCE DATA DELIVERY FOR HEALTH PLANS & MCOS
The government updated your reference data.
Did your systems get the memo?
There’s a better way to receive FDA and CMS reference data than a shared calendar reminder and someone’s personal spreadsheet. The UniSync™ GovData SFTP service delivers certified, normalized datasets to your endpoint automatically, before the next retroactive update catches you.
SOUND FAMILIAR?
Manual Government Data Processes Break Without Warning — and Most MCOs Don’t Know It Until an Audit
These datasets are free. The government publishes them on a schedule. Every MCO in the country needs them to operate. And yet every MCO in the country is solving the same problem badly, expensively, and repeatedly. Here is what that process typically looks like.
STEP 01
Someone downloads the update manually
STEP 02
Someone else normalizes it to fit your system.
Someone with a different spreadsheet runs a process they inherited and don’t fully understand. It mostly works.
STEP 03
A third person validates it against last week’s version.
They send an email that says: “looks good I think.” That email is now the audit trail.
STEP 04
Weeks later, a retroactive change surfaces.
This isn’t a data problem. It’s a manual process pretending to be infrastructure. When the person who runs it is unavailable, the process waits. When they leave, it disappears with them.
What Changes?
Secure, Automatic CMS & FDA Reference Data Delivery : What Your Team Stops Doing
Three things that stop being someone’s job.
Reference data arrives clean, on your schedule.
Configure once. Certified datasets arrive via SFTP on schedule: source-formatted or normalized, validated, and delta-flagged. No manual work.
Timely retroactive updates.
When CMS or FDA issues a retroactive update, you will receive it proactively. Not learn about it three weeks later in an audit finding.
New team members don’t inherit a mystery process
The institutional knowledge lives in the system. When people move on, the process stays. No onboarding archaeology required.
The Four Government Reference Datasets Every MCO Depends On
These are not optional enrichment datasets. They are the foundational reference data underneath every claim your adjudication engine processes, every encounter you submit to CMS, every provider directory your members see, and every audit response you write. The federal government publishes all four. Every MCO in the country needs all four. And yet every MCO in the country is managing them badly
NDC Directory
FDA National Drug Code drug product file — the foundation of every pharmacy claim your adjudication engine processes. Updated daily. Retroactive change detection included.
NPPES / NPI
National Provider Identifier registry. The mandatory identifier for all HIPAA standard transactions. Full 8GB replacement file published weekly by CMS. Most MCOs are not refreshing it weekly.
ICD-10-CM / PCS
Diagnosis and procedure codes underlying every claim, encounter, quality measure, and risk adjustment calculation. FY2026 included 487 new codes and a mid-year April 1 update most MCOs miss.
HCPCS Level II
Billing codes for DME, prosthetics, ambulance, injectable drugs, and Medicare-specific services. Updates four times per year. High-cost, high-audit-risk service lines for MA, D-SNP, and LTSS populations.
There is already an update you may have missed.
CMS published a mid-year ICD-10-PCS update effective April 1, 2026. This is the second update cycle in the fiscal year — one most MCOs do not catch until it surfaces in a claim denial or audit flag. If your reference data process runs on a quarterly reminder, this one is already behind.
Additional datasets added based on early access member needs. Tell us what your team manages today.
Setup
Connect, Configure, and Receive Certified Data in Under a Day
No implementation project. No professional services engagement. Most teams reach their first dataset the same day.
STEP 01
Connect
Point your SFTP client at the Government Data SFTP endpoint. SSH key authentication, standard SFTP protocol, no custom client required.
STEP 02
Configure
Select which datasets you need and how frequently. We handle retrieval, normalization, and certification from there.
STEP 01
Receive
Certified data lands in your endpoint on schedule.
Built For
Built for Health Plans and MCOs Managing NDC, NPPES, ICD-10, and HCPCS
Our GovData SFTP service replaces that fragile setup with automatic delivery of certified government datasets. Validated and ready to use, without depending on tribal knowledge or whoever happens to be on call.
For Data Engineering Teams
Stop maintaining the process that depends on one person
Get certified reference data delivered automatically, without building or owning the pipeline yourself.
FOR OPERATIONS & COMPLIANCE
Replace the manual workaround your team has quietly been running for years
Auditability, consistency, and zero single-point-of-failure, without a lengthy implementation project.
FOR IT LEADERSHIP & AUDITORS
Know when data changed, what changed, and when you received it
Delivery timestamps give you the documentation trail audits require. Retroactive changes surface automatically.
Get Immediate Access
Your Next CMS Retroactive Update Is Already Scheduled. Get it Delivered Securely. Automatically.
If you’re still managing government data downloads through manual processes, you are exactly who we built this for.
