Connected capability

Network Participation Management

Know each provider’s active plans, products, locations, effective dates and limitations.

Connected to Celeris OSProvider · Organization · Location · Relationship · Workflow
CELERIS / CINEMATIC STATE 01Provider NetworkProvider Network · interactive operating model
Provider NetworkContracts & NetworksNetwork Participation ManagementConnected outcome

Complete operating model

Network Participation Management is more than a task.

A production-grade capability must coordinate information, people, rules, systems, evidence and downstream consequences.

01

Requirements intelligence

Know the exact provider, payer, state, organization and location requirements before work begins.

Network Participation Management
02

Verified provider data

Use reusable structured data and source evidence instead of rebuilding applications repeatedly.

Network Participation Management
03

Workflow control

Coordinate owners, submissions, follow-up, dependencies, deadlines and escalation in one history.

Network Participation Management
04

Exception management

Surface missing, conflicting, expired and rejected information before it stops activation.

Network Participation Management
05

Downstream readiness

Connect completion to network status, scheduling, claims and revenue availability.

Network Participation Management

End-to-end workflow

From initiation to measurable outcome.

01CollectInitiate network participation management
02VerifyPreserve context and advance work
03LicensePreserve context and advance work
04EnrollPreserve context and advance work
05ContractPreserve context and advance work
06ActivatePreserve context and advance work
07MonitorFeed results into intelligence

Information model

Every decision needs context.

Network Participation Management operates with the same master healthcare entities as the rest of Celeris. That means work never loses the organization, provider, location, payer, patient, team or relationship that gives it meaning.

Network Participation ManagementProviderOrganizationLocationPayerRelationshipWorkflow

Connected before and after

No dead-end workflows.

Designed across healthcare

One capability, different operating realities.

01New practices

Celeris adapts network participation management to this organization’s scale, relationships and workflow requirements.

02Provider groups

Celeris adapts network participation management to this organization’s scale, relationships and workflow requirements.

03Health systems

Celeris adapts network participation management to this organization’s scale, relationships and workflow requirements.

04Digital health

Celeris adapts network participation management to this organization’s scale, relationships and workflow requirements.

05Healthcare service companies

Celeris adapts network participation management to this organization’s scale, relationships and workflow requirements.

Network Participation Management

Design this capability around the whole operation.