Salesforce Health Cloud Developer Guide
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Summer '22 (API version 55.0)
Spring '22 (API version 54.0)
Winter '22 (API version 53.0)
Summer '21 (API version 52.0)
Spring '21 (API version 51.0)
Winter '21 (API version 50.0)
Summer '20 (API version 49.0)
Spring '20 (API version 48.0)
Winter '20 (API version 47.0)
Summer '19 (API version 46.0)
Spring '19 (API version 45.0)
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Summer '18 (API version 43.0)
Spring '18 (API version 42.0)
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Summer '17 (API version 40.0)
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Summer '16 (API version 37.0)
Provider Network Management Overview
Access to Provider Network Management
Use Composite API Requests to Import Data for Provider Relationship Cards
ApplicationCase
BusinessLicense
CareProviderAdverseAction
CareSpecialtyTaxonomy
CareTaxonomy
IndividualApplication
InsurancePolicy
PersonEducation
Accreditation
Award
BoardCertification
BundledCareFeeAgreement
CapitationCareFeeAgreement
CareFeeScheduleItem
CareProviderFacilitySpecialty
CareProviderSearchableField
CareProviderSearchConfig
CareSpecialty
CategorizedCareFeeAgreement
ContractPaymentAgreement
FeeScheduleDefinition
HealthcareFacilityNetwork
HealthcarePayerNetwork
HealthcarePractitionerFacility
HealthcareProvider
HealthcareProviderNpi
HealthcareProviderSpecialty
HealthcareProviderTaxonomy
PercentileBsdCareFeeAgreement
ProviderNetworkContract
ProviderNetworkTier
PreventiveCareAgreement
SharedSavingPaymentAgreement
StandardCareFeeAgreement
Creating and Importing Documents
API End-of-Life
Newer Version Available
Provider Network Management
Provider Network Management allows health insurance companies to bring providers into
their network. It 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 |
To use Health Cloud for provider network management, assign the Health Cloud permission set and the Provider Network Management permission set to your users.
Jump To:
Provider Application and Credentialing
To view a larger version, right-click or control-click the image and select Open Image in New Tab or view the Provider Application and Credentialing data model architecture on the Salesforce Architects site.
Provider Network Contract Management
To view a larger version, right-click or control-click the image and select Open Image in New Tab or view the Provider Network Contract Management data model architecture on the Salesforce Architects site.
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Provider Network Management Overview
Use the Health Cloud Provider Network Management data model along with standard Salesforce objects to manage your network of providers. -
Access to Provider Network Management
The provider network management standard objects are available to users with the Health Cloud, Health Cloud Platform, and Provider Network Management permission set licenses and the Health Foundation permission set. -
Use Composite API Requests to Import Data for Provider Relationship Cards
If you’re setting up provider relationship cards to show practitioner information, you can use Composite API requests to create and link multiple records. -
Vlocity Health and Insurance Objects Available in Health Cloud
The Provider Recruiting and Credentialing Application features of the Vlocity Health and Insurance package are fully supported in Health Cloud. Each Vlocity field has an equivalent Health Cloud field, which you can find here. -
ApplicationCase
This junction object stores a relationship between Case and IndividualApplication. This object is available in API version 52.0 and later with the Provider Network Management permission set license. -
BusinessLicense
Represents the licenses of a party role like healthcare provider or producer. -
CareProviderAdverseAction
Captures adverse actions against the provider, such as malpractice lawsuits or revoked licences. This object is available in API version 47.0 and later. -
CareSpecialtyTaxonomy
The junction object between CareSpecialty and CareTaxonomy. This object is available in API version 52.0 and later. -
CareTaxonomy
Represents a static list of taxonomy codes. -
IndividualApplication
Represents an application form submitted by an individual. Available with the Provider Network Management permission set license. -
InsurancePolicy
Represents a type of insurance policy. Available with the Provider Network Management permission set license. -
PersonEducation
Represents information about professional education for a person in a provider role. -
Accreditation
Represents the professional accreditations of a facility. For example, a joint commission accredits a facility as a general acute care hospital. -
Award
Represents a person's or organization's professional awards. -
BoardCertification
Represents the practitioner's board certifications such as being board-certified in cardiology and cardiovascular disease. -
BundledCareFeeAgreement
Specifies the payment terms for contracts of Bundled Care Fee Agreement. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
CapitationCareFeeAgreement
Specifies the payment terms for contracts of Capitation Care Fee Agreement type. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
CareFeeScheduleItem
Stores procedure level fees for a fee schedule definition. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
CareProviderFacilitySpecialty
Represents all the specialties that the practitioner provides at a given location. For example, a physician who is board-certified in both spine and neuro may provide spine services at one location and neuro services at another. -
CareProviderSearchableField
This object holds denormalized data from certain fields in the Provider data model. Provider search APIs query this object instead of multiple objects, which improves search performance. This object is available in API version 47.0 and later. -
CareProviderSearchConfig
Represents fields that can appear in provider search results. Use this object to specify fields in arbitrary objects (source) that are made available in the search object (target). This object is available in API version 48.0 and later. -
CareSpecialty
Represents a listing of provider specialty codes and descriptions. For example, 02 - Physician/General Surgery. -
CategorizedCareFeeAgreement
Specifies the payment terms for contracts of Categorized Care Fee Agreement. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
ContractPaymentAgreement
Stores information about the contract payment agreement associated with a contract. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
FeeScheduleDefinition
Stores fee schedule information for contracts of Standard Care Fee Agreement types. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
HealthcareFacilityNetwork
Represents a junction object identifying the insurance network that a location or business entity is a part of. Network participation records are also stored in this object. -
HealthcarePayerNetwork
Represents an insurance network group. For example, an insurance company’s exclusive provider organization (EPO) plans. -
HealthcarePractitionerFacility
Represents the different locations in which a practitioner provides services. -
HealthcareProvider
Represents business-level details about the healthcare organization or the practitioner. -
HealthcareProviderNpi
Represents identifiers from the National Provider Identifier that are assigned to every facility and licensed practitioner in the United States. Also includes NPI assigned date, primary mailing address on file, and so on. -
HealthcareProviderSpecialty
Represents specialties for a practitioner or a provider service organization. A provider can have multiple specialties such as anesthesiology and cardiovascular. -
HealthcareProviderTaxonomy
Represents taxonomy or subspecialty codes for a practitioner or facility. A provider or facility can have multiple taxonomies. -
PercentileBsdCareFeeAgreement
Specifies the payment terms for contracts of Percentile Based Care Fee Agreement. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
ProviderNetworkContract
Represents a provider and a network bound together by a contract. This object is available in API version 53.0 and later with the Provider Network Management permission set license. -
ProviderNetworkTier
Represents unique tiers for each provider network. This object is available in API version 53.0 and later with the Provider Network Management permission set license. -
PreventiveCareAgreement
Specifies the payment terms for contracts of Preventive Care Fee Agreement. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
SharedSavingPaymentAgreement
Specifies the payment terms for contracts of Shared Saving Payment Agreement type. This object is available in API version 54.0 and later with the Provider Network Management permission set license. -
StandardCareFeeAgreement
Specifies the payment terms for contracts of Standard Care Fee Agreement type. This object is available in API version 54.0 and later with the Provider Network Management permission set license.