As a provider who is recruited into a provider network, you receive an email with
instructions to log into the Provider Portal experience cloud site and start your credentialing
application process. Enter information about your education, training, or practice standards,
and professional qualifications (licenses, certifications, education, and
registrations).
Required Editions
Available in: Lightning Experience
Available in: Enterprise and Unlimited Editions with Health
Cloud
User Permissions
Needed
To start credentialing:
Provider Network Management for Experience Cloud Sites permission set
Provider Network Management’s built-in integration with NPI helps you retrieve
information from the provider’s NPI profile. If you have an NPI number, your credentialing
application form is automatically updated with the information from your NPI profile and
you only need to verify it.
Provider Network Management isn’t integrated with CAQH by default and requires
additional configurations. If you have a CAQH number and your payer has set up CAQH
integration, all your information is automatically updated from the CAQH profile.
Log in to the provider portal using the credentials shared with you by email.
Click Start Credentialing next to your application, and click
Next.
Do one of the following:
If you have a CAQH Number, click Yes and verify that your
CAQH number is correct.
Your information is automatically updated in the credentialing application based on
your CAQH profile and you just need to verify the details in the following screens.
Note You can’t add or modify any of the information that is displayed. If any of your
professional or education information is incorrect, you need to get it changed in
the CAQH system.
If you don’t have a CAQH number, click No.
Salesforce proceeds to retrieve information from your NPI profile. Your information
is automatically updated in the credentialing application and you just need to
verify the details in the following screens.
Note You can’t add or modify any of the information that is displayed. If any of your
professional or education information is incorrect, you need to get it changed in
the NPI system.
Verify the specialty, board certification, work history, and other details in the
following screens.
Provide your answers in the questionnaires for disciplinary actions, professional
liability, health status, and Medicare.
Verify or change details of your billing address and click
Next.
Read the consent form and agree to the terms.
Click Sign Application Electronically.
Salesforce generates a DocuSign document with all your credentialing information
and creates an application. The credentialing workflow creates the document based on the
DocuSign template that your admin configured for your org.
Review the information in the credentialing application form.
Sign the application form.
That's it! You've completed your credentialing application form. Salesforce creates a Case
record and updates the Individual Application record. You can track your application’s
status using the Case record.
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