Contract Management in Health Cloud

Health Cloud's comprehensive contract management solution provides payers, providers, and provider groups with a single, integrated system for recording contract information. The ability to find the information they need and manage fee schedules all in one place makes your contracting specialists' jobs easier and ensures faster access to patient care.

Ensure that you create the contract for the provider network using the Contract page and have it ready before defining the payment terms. To simplify the process, you can associate the contract with the right network participation record directly on the Contract record page. Then, your contract applies to all providers or provider groups who are part of the network participation.

Provider Network Management is available in Enterprise and Unlimited editions of Health Cloud provisioned with the Health Cloud Provider Network Management Add-On license.

Note

Health Cloud contract management consists of the Contract Payment Agreement parent object, its child objects, and the Contract Payment Agreement Terms lightning component, which help to support these seven industry-standard payment types:

Payment Types	Health Cloud Object for this Payment Type
Fee-for-Service	Standard Care Fee Agreement
Category-Based Payment	Categorized Care Fee Agreement
Percentile-Based Payment	Percentile Care Fee Agreement
Shared Savings	Shared Saving Payment Agreement
Capitated Payment	Capitation Care Fee Agreement
Bundled Payment	Bundled Care Fee Agreement
Preventive Care	Preventive Care Agreement

These objects are accessible only within the context of the Contract Payment Agreement parent object and not from the App launcher. Your users can’t create standalone records for them.

Note

If your organization’s contract specifications require a different payment type, you can configure custom payment types. See Configure Custom Payment Agreement Types.

Health Cloud Administration

Contract Management in Health Cloud