Manage Your Provider Network Participants and Contracts

Bringing providers into a payer network and managing them is a lengthy, time consuming process. The manual nature of this process and the number of steps involved have always been a pain point in the payer industry. Optimizing this process is essential to enhancing provider satisfaction rates and improving patient outcomes. That’s where Health Cloud comes in. The Provider Network Management add-on helps boost provider engagement and satisfaction by helping payers easily enroll providers into their networks.

• Enroll Providers in a Network
  With Health Cloud’s Provider Network Management, you can customize workflows that enable payers or provider groups to quickly segment and assess provider candidates. You can also help providers use the self-service application for streamlined enrollment.
• Upload Roster Data Files by Using Provider Portal
  Track submission history, view case details and file statuses to ensure your data is up to date in the Provider Network Management (PNM) data model.
• Network Participations
  Network participation record providers who participate in a network. Putting together a network participation for a provider is a step in onboarding that provider into your health 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.