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Create Healthcare Facility and Payer Networks

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Create Healthcare Facility and Payer Networks

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 or Life Sciences Cloud, and Einstein GPT Platform and Einstein GPT Prompt Builder Add-On licenses
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.

  1. From the App Launcher, find and select Healthcare Payer Networks.
  2. Click New.
  3. Enter a name for the payer network.
  4. For Payer, select the payer organization associated with this facility network.
  5. Select a network type such as HMO, PPO, or EPO.
  6. Select Active.
  7. Add other relevant information such as effective date or line of business, and then save your changes.
  8. From the App Launcher, find and select Healthcare Facility Networks.
  9. Click New.
  10. Enter a name for the facility network.
  11. For Account, select the business account associated with this facility network.
  12. For Payer Network, select the payer network you created earlier.
  13. For Practitioner Facility, select a healthcare practitioner facility related to the account you selected.
  14. For Practitioner, select the practitioner related to the healthcare practitioner facility.
  15. Add other relevant information, and then save your changes.
 
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