V12 Enterprise Pro

Additional Details

V12 Network Pro offers the following core functionality supporting Payers, MCOs, IPNs, Specialty Networks, Health Systems, and other network companies to build and manage provider networks and provider data: * Build your network and track practitioners' recruitment efforts for a seamless provider enrollment and onboarding process. * Automate Roster mapping/processing. * Dynamically link providers and practitioners to multiple provider groups for directory and claims purposes. Manage contractual relationships allowing for provider group, practitioner, or location-based contractual terms across one or multiple networks. * Automate workflows for inhouse, delegated and CVO credentialing with prebuilt interfaces to leading sources such as: NPPES & CAQH ProView. * Initiate automatic checks for OIG exclusions and credentialing based workflows such as Primary Source Verification (PSV) using a prebuilt interface to leading CVOs. * Execute credentialing and provider contracting workflows. Manage complex fee schedule negotiations using 28 prebuilt pricing methodologies. Examples: fee for service, % of billed, % of charged, value-based care/shared savings, and capitated arrangements.