URAC Data Validation Readiness

(return to MetaStar Readiness Series)

Helping You Thoroughly Understand the URAC DV Process

Preparing for a URAC Data Validation (DV) audit can feel overwhelming, especially if you are new to the process, have a newly accredited pharmacy, or are unsure what your assigned validator will expect. That is where MetaStar’s URAC DV Readiness program comes in.

As a URAC approved Data Validation auditor with experience validating hundreds of measures across Specialty, Mail Service, and Pharmacy Benefit Management organizations, we know what is required and what often goes wrong. Our URAC DV Readiness service is designed to simulate the real audit experience and ensure you are fully prepared.

What to Expect

Our readiness program mirrors URAC’s official DV audit structure but in a consultative, no risk format. You will gain clarity, confidence, and the tools needed to enter your audit cycle fully prepared, regardless of which firm is assigned as your official validator.

URAC Data Validation Readiness Services Include

• Mock DV Audit that simulates URAC’s validation process including Information System Capability Assessment (ISCA) review, sample testing, and rate logic walkthroughs.
• ISCA Guidance with step-by-step support completing the ISCA.
• Measure Preparation through review of required and exploratory measures including numerator and denominator data flows.
• Sampling and Rate Logic Review to evaluate how your systems generate reportable rates and validate against URAC’s expectations.
• Timeline Planning to build a customized calendar tied to URAC deadlines and deliverable milestones.
• Audit Coaching that educates your team on validator roles, audit protocols, site visit logistics, and follow up processes.
• Corrective Action Support to identify gaps now before they become costly audit findings later.

Deliverables You Will Receive

• Mock Final Validation Report for internal use
• Annotated ISCA Feedback Memo
• Sampling and Audit Log Template
• Rate Readiness Dashboard
• Custom Project Timeline Tracker

Why Work with MetaStar

MetaStar has guided healthcare organizations navigate complex accreditation, compliance, and validation programs for more than 50 years. We understand the URAC DV process thoroughly and we ensure you understand it too.

Get Ready with Confidence

If we are not your assigned validator, let us be your readiness partner. Contact us today to schedule a discovery call and learn how our URAC DV Readiness service can help you succeed.