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

Benefits

Vlocity Health provides digital self-registration for providers and then seamlessly assesses background and legitimacy via integrated 3rd-party systems to reduce provider contract cycle times and minimize human error.

Vlocity Health provides a fully-branded, user-friendly digital portal for providers to easily manage profile information, applications, licenses, payments, claims, preauthorizations, and more. All service cases are fully tracked, providing you insight into issues and where they stand.

Vlocity Health helps track key data about providers, their network affiliations, and linked benefit designs and then extends to customers so they can buy plans and determine care based on access to in-network providers.