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.

• 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.
• Get Started with Provider Network Management
  Help payers and provider groups to efficiently manage provider applications and enrollment, construct effective provider networks, and retain top healthcare talent using Health Cloud's Omnistudio-based workflows. Set up Provider Network Management to give your users a one-stop solution for provider registration, nomination, recruitment, credentialing, and verification.
• Set Up an Experience Cloud Site for Provider Network Management
  Build an Experience Cloud site for your providers to use Omnistudio-based processes to register with a payer’s network, nominate a peer provider, create referrals, or perform the credentialing process.
• Set Up DocuSign Integration for Provider Network Management
  Help your credentialing specialists easily generate the credentialing application form for their providers by setting up DocuSign integration for Provider Network Management. Providers can then sign the credentialing application form and give their consent to join the payer’s network.
• Set Up Roster File Mapping
  Streamline how you manage diverse provider roster files using Roster File Mapping in Data 360. Easily integrate and update unstructured data submitted by providers in CSV format, improving accuracy, efficiency, and accessibility. Enjoy real-time processing and data harmonization, reducing manual effort and accelerating updates across systems. Leverage scalable architecture and a comprehensive data view to boost operational efficiency.
• Network Participation
  Network participation 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.
• Set Up Povider 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.
• 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.