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To support increased efficiencies, compliance, and growth, transform provider network management and self-service services. Provider Network Management (PNM) is an innovative extension of Salesforce Health Cloud that assists in improving the provider experience, increasing the satisfaction of a provider, and optimizing patient outcomes. Organizations need to possess a license of Health Cloud installed in the Salesforce to take advantage of this feature. Users must have licenses for the Health Cloud Platform, Health Cloud and Provider Network Management permission sets.
Provider Network Management (PNM) Constraints
At all phases, tedious procedures and ineffective interaction encounters cause provider friction and sluggish turnaround times.
Provider directories are prone to errors, with duplicated and unconnected data common. These errors have ramifications for other critical payer activities like claims, utilization management, and coordination of care.
Due to the various sources of data and the additional complexity of the network, payers invest substantial resources just to update their current provider directories.
Providers are increasingly unsatisfied as a result of disconnected processes and a lack of status transparency. As a result, providers choose to quit the network understanding the fact that there are other alternatives available. Health insurance companies struggle to find providers based on specific medical requirements, leading to inferior quality of care.
Member relationships are heavily influenced by provider ties. Member relationships are only as robust as the ecosystem that enables them for medical insurance companies (payers). Furthermore, payers struggle to find providers based on specific medical requirements, resulting in a lower standard of treatment.
Advantages of using Health Cloud’s Provider Network Management for Payers
- simplify the process of registering and demonstrating the necessary credentials of licensed healthcare providers, as well as evaluating their previous experience and credibility, inside an integrated system to minimize provider turnaround time during the onboarding process.
- Improve provider relationships by allowing for greater collaboration and involvement in order to manage, expand, and enhance the provider network.
- Improve the procedure for obtaining credentials to guarantee that accredited professionals offer quality patient care.
How PNM operates
- PNM enables targeted advertising, provider communication, and the handling of provider leads, as well as the intake provider application, for provider recruiting teams.
- PNM delivers the initial procedure for obtaining credentials and certification verification to provider authenticating teams.
Following the introduction of Health Cloud’s Provider Network Management capability, providers can simply join a network via streamlined acquiring, credentialing, and contracting apps. They receive insight into the application procedure and have the ability to handle paperwork and interactions digitally through online self-service platforms. OmniStudio, Content and Document Generation are also included in the Provider Network Management (PNM) extension.