Manage Your Network of Providers

Find and manage provider partners and support efficient recruiting, credentialing, contracting, and self-service within a single cloud platform.

Available in: Lightning Experience

Available in: Enterprise and Unlimited Editions with Health Cloud

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Learn About Provider Network Management

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

New customers from March 15, 2022 who are using the OmniStudio processes of Provider Network Management require the OmniStudio Foundation package and licenses. Existing customers using Provider Network Management require the Vlocity Health and Insurance package and licenses.

Note

Get Oriented		Create a robust and easily manageable provider system of record. Health Cloud Provider Search and Cards Learn About the Provider Data Model Health Cloud for Payers
Data Models		Get to know the Health Cloud data models and objects that help you manage your network of providers. Provider Network Management
Provider Search and Provider Relationship Management		Connect patients, members, and providers. Help Patients to Connect with Providers
Provider Network Management		Create a robust and manageable provider system of record. Get to Know Provider Network Management

Set Up and Manage Your Provider Network

Get to Know Provider Network Management
Recruiting providers and adding and managing them in provider group or payer network is a lengthy, time consuming process. And the manual nature of this process has always been a pain point in the industry. Optimizing this process is essential to increasing provider satisfaction rates and improving patient outcomes. That’s where Health Cloud comes in.
How Provider Network Management Works
Provider Network Management in Health Cloud enables payers and provider groups to easily enroll providers, construct effective provider networks, and retain top healthcare talent. Provider Network Management streamlines provider enrollment and supports a range of contract types, network models, and provider relationships.
Provider Network Management Data Model
The provider network management data model provides standard objects and record types for provider data. This data includes the provider application, credentialing, and contract payment terms.
Provider Enrollment
Provider Network Management reduces provider onboarding time with an efficient registration, recruitment, credentialing, and verification experience. It also increases provider engagement and satisfaction, and improves payer operational efficiency.
Set Up Provider Enrollment and Network Management
Help payers and provider groups to efficiently manage provider applications and enrollment, construct effective provider networks, and retain top healthcare talent using our Omnistudio-based workflows. Set up Provider Network Management to give your users a one-stop solution for provider registration, nomination, recruitment, credentialing, and verification and help members promptly find care that fits their needs.
Network Participations
Network participations record providers or provider groups who participate in a network. Putting together a network participation for a provider or provider group is the logical next step to onboarding them into your organization’s network.
Provider Network Contract Management
Contract management plays a significant role in provider networks. An effective contract management system ensures that contracts have the right payments, providers are held accountable for care outcomes, and clinicians work towards qualitative, patient-centric care. It involves defining appropriate, agreed-upon payment terms so that payers, providers, and provider groups can focus on care coordination and health management.

Health Cloud Administration

Manage Your Network of Providers

Learn About Provider Network Management

Set Up and Manage Your Provider Network