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Provider Network Management

Provider Network Management allows health insurance companies to bring providers into their network. The provider network management data model provides objects for managing provider application and credentialing data, so you can easily enroll providers into your network and help your members or patients find care that fits their needs.
Available in: Enterprise and Unlimited Editions

With the provider relationship data model, providers can apply to join a network and credentialing specialists can then validate information such as the education qualifications, certifications, and employment history to enroll providers into the network.

Provider entity relationship diagram

To use Health Cloud for provider network management, assign the Health Cloud permission set and the Provider Network Management permission set to your users.

The Provider Recruiting and Credentialing features of the Vlocity Health and Insurance package are fully supported in Health Cloud. You will need the Vlocity Health and Insurance package for OmniStudio.

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