Network Participation

Available in: Lightning Experience Available in: Enterprise and Unlimited Editions of Health Cloud with the Health Cloud Provider Network Management Add-on license

The Network Participation Lightning component in Provider Network Management helps effectively associate provider groups and practitioners with a network. Provider Network Management also enables provider groups to organize their providers into specific tiers, which define the criteria for network participation. This component helps your users to easily associate ‌providers with a unique set of contracts and health plans.

For example, as a large national health plan, Cumulus Health Plans carries multiple networks, including an HMO, a PPO, and various Medicare offerings. As a final step in the contracting process, the contracting specialist must designate which network participation the new provider joins.

Network participations include these key components.

• Participating provider
• Network that the provider is participating in
• Location of the practice that’s covered by the network
• Contract that binds the provider, network, and location together
• Period the network participation is active for

Both individual practitioners and provider groups can be participants in network participations.

• Network Participation in Health Cloud
  The Network Participation Lightning component helps your users view and register network participations for the providers they onboard. Records created by this component are stored on the Healthcare Facility Network object. If a contract is specified for the network participation, then an additional record is created on the Provider Network Contract object as well.
• Configure the Network Participation Component
  Add the Network Participation Lightning component on appropriate record pages to help your users register network participation for the providers that they bring into their network.