Create healthcare payer network records for insurance network groups, and then create
healthcare facility network records to identify the payer network that a facility or organization
is a part of.
Required Editions
Available in: Lightning Experience
Available in: Enterprise and Unlimited Editions with Health
Cloud
User Permissions Needed
To use Provider Relationship Management:
Health Cloud Provider Relationship Management
Before you begin, create business account records to represent payer organizations as needed.
From the App Launcher, find and select Healthcare Payer
Networks.
Click New.
Enter a name for the payer network.
For Payer, select the payer organization associated with this facility network.
Select a network type such as HMO, PPO, or EPO.
Select Active.
Add other relevant information such as effective date or line of business, and then save
your changes.
From the App Launcher, find and select Healthcare Facility
Networks.
Click New.
Enter a name for the facility network.
For Account, select the business account associated with this facility network.
For Payer Network, select the payer network you created earlier.
For Practitioner Facility, select a healthcare practitioner facility related to the account
you selected.
For Practitioner, select the practitioner related to the healthcare practitioner
facility.
Add other relevant information, and then save your changes.
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