45 of 60. A payer is looking for a solution to recruit, credential, and onboard providers into its network. Which Health Cloud add-on should help the…

To effectively recruit, credential, and onboard providers into its network, a payer should utilize the

Provider Network Management add-on in Salesforce Health Cloud.

Understanding Provider Network Management:

Purpose: Provider Network Management (PNM) is designed to streamline the processes of

recruiting, enrolling, credentialing, and managing healthcare providers within a payer's network. It

enhances operational efficiency, ensures compliance, and improves provider satisfaction.

Key Features:

Provider Enrollment: Facilitates efficient registration and recruitment of providers, reducing

onboarding time and enhancing engagement.

Credentialing: Supports verification and validation of provider qualifications, ensuring that only

qualified professionals join the network.

Contract Management: Manages various contract types and network models, accommodating

diverse provider relationships.

Network Adequacy: Assists in constructing effective provider networks to meet patient needs and

regulatory requirements.

Implementation Steps:

Acquire the Provider Network Management Add-On:

Ensure that your Salesforce Health Cloud instance includes the PNM add-on, which is available in

Enterprise and Unlimited editions.

Configure Provider Enrollment Processes:

Set up workflows for provider recruitment and registration, utilizing PNM's enrollment features to

streamline the process.

Establish Credentialing Protocols:

Implement credentialing workflows to verify provider qualifications, leveraging PNM's integration

capabilities for primary source verification.

Manage Contracts and Networks:

Utilize PNM's contract management tools to handle various contract types and maintain an

organized provider network.

Reference:

How Provider Network Management Works: For a comprehensive overview of PNM's functionalities,

refer to Salesforce's official documentation: How Provider Network Management Works

Get to Know Provider Network Management: To understand the setup and configuration of PNM,

consult: Get to Know Provider Network Management

Conclusion:

By implementing the Provider Network Management add-on, payers can effectively recruit,

credential, and onboard providers, thereby enhancing network efficiency, ensuring compliance, and

improving overall provider satisfaction.