Provider Network and Operations

Drive efficiencies with centralized provider data, credentialing, network administration, claims automation, and a self-serve portal.

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Overview

The Vlocity Health platform enables you to qualify and appoint new providers, manage provider networks, and provide self-service tools in the cloud. Our industry-specific solutions are 100% native and additive to Salesforce and we also provide an open integration framework to integrate 3rd-party systems. This way, you have a single platform to manage provider partnerships with ease.

Key Feature

  • Comprehensive provider database to track provider networks, contacts, practices, payments, service codes, and fees
  • Extended internal campaign management features to manage provider lists, telesales scripts, events, and content
  • Network administration tools to assign providers to various network levels and/or custom networks for group clients
  • Provider directory for customers to shop plans based on their preferred providers, search in-network providers when needed, and track providers in use within their profile
  • Self-serve provider portal to manage applications, contracts, licenses, preauthorizations, claims, and issue logging
  • Analytics to track provider activities, claims, network status, contracts, network by product revenue, and more