Network Participation in Health Cloud

Note Health Cloud doesn’t support creating specialized payer-provider contracts. However, you can create standard, non-specialized contracts using the Contract object. You can then attach documents to this contract with the specific terms of the contract.

The Network Participation Lightning component is compatible with the Business Account record pages, Person Account record pages, and Healthcare Payer Network record pages. The component’s behavior is contextually determined by the type of the record page it’s added to.

• Business Account record pages:
  • During the registration of new network participations, the participation location references Healthcare Facility records.
  • Users can select individual providers associated with the business account’s provider group to register multiple network participations. A network participation is always registered for the business account that it's created from.
  • The component lists network participations filtered by the Business Account record that the component is viewed from.
• Person Account record pages:
  • During the registration of new network participations, the participation location references Healthcare Practitioner Facility records.
  • The process skips the provider selection page and selects the provider of the Person Account record that's used to create the network participation.
  • The component lists network participations filtered by the Person Account record that the component is viewed from.
• Healthcare Payer Network record pages:
  • The New Participation button is hidden and users can’t create network participations from that record page.
  • The component lists network participations filtered by the Healthcare Payer Network that the component is viewed from.

Use the component to record multiple network participations in batches. All you have to do is select the required practice locations, providers, and networks on the appropriate pages. However, if multiple locations are selected, then the providers associated with those locations are automatically selected for registering network participations.