Automated PBP Filing Successfully Completed Through HPMS Integration

Sets a new standard for Medicare Advantage compliance and operational efficiency

June 18, 2025 — [Burlington, MA] — In a groundbreaking move for the healthcare industry, a leading regional Health Plan has successfully completed its Plan Benefit Package (PBP) filing through a fully automated process, integrating their plan management solution directly with the Centers for Medicare & Medicaid Services (CMS) Health Plan Management System (HPMS). This marks a key milestone in the health plan industry for achieving end-to-end automation for this critical regulatory requirement. 

Historically, PBP filing has been a labor-intensive, error-prone process involving manual data entry, reliance on third-party vendors, and significant internal resource strain. By leveraging a centralized data platform and API-based integration with HPMS, the Health Plan has eliminated manual touchpoints, reduced the risk of errors, and significantly accelerated its filing timeline. 

Key outcomes from the automated filing process include: 

• Substantial error reduction compared to previous years 

• Accelerated milestone completion, often ahead of CMS deadlines 

• Improved employee experience, with reduced overtime and stress 

• Greater confidence in data accuracy and compliance 

The automation initiative was made possible through a strategic partnership between the Health Plan and HighRoads, a provider of SaaS plan product and benefit configuration technology for health plans. HighRoads provided the platform and integration capabilities that enabled the Health Plan to establish a single source of truth and streamline data flow directly into HPMS.  

“This achievement sets a new benchmark for what is possible in Medicare Advantage operations,” said Brian Kim, CEO at HighRoads. “It’s a clear signal that the future of operations is automated, and it’s already here. We’ve proven that automation isn’t just possible—it’s transformational. Bid submission teams are no longer burdened by late nights and last-minute corrections. Instead, they are empowered to focus on strategy, quality, and innovation.” 

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About HighRoads 

HighRoads is a leading SaaS provider helping health plans reduce administrative costs and grow revenue by transforming product, plan, and benefit data into a single source of truth. Our platform, P2A, centralizes and standardizes critical data, ensuring it’s accurate, accessible, and ready to power operations across the health plan—from claims to customer service. Because the platform is API-ready, it can seamlessly integrate with internal and external systems — including, TriZetto® ’s Facets® and QNXT™ claims platforms, CRM systems, and CMS’s Health Plan Management System (HPMS). By eliminating manual processes and data silos, HighRoads enables payers to work smarter, move faster, and deliver better experiences for both members and employees.