Streamline the Provider Credentialing Process

Credentials represent the professional qualifications required by providers to advise and treat patients. Credentials broadly encompass all the licenses, certifications, education, practice standards, and registrations a provider is required to have. Each provider network can customize their exact credentialing requirements.

The credentialing process is considered one of the biggest bottlenecks in provider enrollment. However, Health Cloud helps payer, provider groups, and providers to efficiently handle credential data using the self-service application. Health Cloud captures all aspects of provider education, work history, regulatory action, malpractice insurance, specialty, and board certification to allow for a thorough credentialing process.

Health Cloud’s provider credentialing process:

• Enables credentialing specialists at the payer’s office to digitize the process and easily customize the provider application content to meet the needs of their organization. It also captures provider applications with integrated credential verification and validation rules for mandatory information.
• Enables providers to be a part of the practitioner panel of the payer’s network by filling their professional information in the Provider Portal site. The digitization and built-in integrations with NPI for validation minimizes manual data entry and shortens the enrollment and onboarding time.
• Generates the provider’s credentialing application form by facilitating the integration with DocuSign.