Leading health plans and payers, health systems, ACO's, specialty care, post-acute, chronic care providers and other innovators in value-based care rely on Virsys12 as the partner of choice for Provider Life Cycle Management, Provider Network, and Provider Directory applications built on the Salesforce Health Cloud platform.
Whether you are building a new provider network for a market or adding specialist to your existing provider networks, there is many activities and outreach efforts involved. Why not have a system that can automate some of the most tedious outreach efforts? Whether you are a benefit manager building a specialty network or a payer or healthplan growing into a new market or offering a new product, V12 Network and Salesforce Health Cloud can help!
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Trying to understand and manage the complex many-to-many relationships involved in provider network management starts with the provider application process. Provider and payer organizations are continually challenged to collaborate and complete the necessary applications and steps required in a way that is efficient and scalable. Allowing your prospective and active providers to apply for a network online is quick and easy with V12 Network and Salesforce Community Cloud and Health Cloud.
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Many times, provider rosters are received by delegated providers to speed of the process of provider network activation, but it actually slows things down if you have to manually key the data into your provider network management system from these files. It doesn't have to be that way for your ongoing provider data maintenance with active providers or your new network providers with V12 Network and Salesforce Health Cloud.
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Once you receive the provider information, it has to be validated for accuracy before initiating the credentialing proccess. What if you could check the practitioners OIG and state exclusions real-time and follow an auditable and structured workflow process to stay on track? You can with the automation in V12 network with API integration to Provider Trust for exclusion checks!
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The struggle to maintain accurate provider directory information for your networks is challenging. We've made it easier to be notified of changes, modify and track data changes and collaborate with your team to keep the provider directory up to date! From terminations, additions, or changes at the provider group or practitioner level, the automation in V12 Network save precious time.
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How do you know where your stand with building and maintaining a robust and accurate provider network and directory? What are your teams roadblocks in the process and what are your priorities today? There are thousands of touch points and steps in the process of contracting providers into your organization's networks. You've got questions and we've got answers in ? V12 Network and Salesforce Health Cloud!
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Credentialing is the pivotal step in the provider network process and can be the most complicated and tedious process in the entire provider lifecycle? But, it doesn't have to be that way. Whether your organization performs in-house, delegated works with a CVO, the credentialing process with collaboration and automatic OIG check are a readily available for your team. V12 network and Salesforce Health Cloud have you covered!
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Managing the complex relationships involved in provider network management for large and complex health systems is easy to track in V12 Network. The provider group Tax id and NPI for the locations and practitioners can be tracked separately and distinctly from the Tax id and NPI use for Billing (or Claims) purposes. Also these relationships can be different for each network or each type of service within the networks. This level of complexity is no problem with V12 Network and Salesforce Health Cloud!
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Why waste time onboarding and credentialing a provider and to find they have OIG exclusions. Understanding a practitioner, his/her relationship to their practicing locations and networks can be tricky, but not in V12 Network --- we have you covered. Also, in V12 Network, early in the process, you can check the OIG compliance status as you add providers to your networks and eliminate extra work for your teams. Ongoing OIG compliance checks are also a breeze with our API to ProviderTrust. Check out why leading payers and health systems use V12 Network and Salesforce Health Cloud to streamline their provider network management and credentialing process!
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Trying to manage provider data between CAQH feeds and your internal systems can be a challenge.... Not with V12 Network! Reviewing and comparing data between CAQH and V12 Network is easy and you can compare all fields and decide which fields to update from CAQH data into V12 Network. This process can even be automated for continual updates if desired! Provider data updates from CAQH are quick and easy with V12 Network and Salesforce Health Cloud.
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Managing provider contracts with different fee schedules and pricing methodologies for providers in your network can be challenging. But V12 Network makes it more streamlined and has the features to help your organization track and manage both fee for service and value based arrangements for specific networks and practicing locations for both par and non-par providers. Managing all types of payment terms is a breeze with V12 Network and Salesforce Health Cloud!
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