Process Group
Provider Management
Objective
Verify provider credentials and qualified services and establish network assignments
Input
Provider license
Physical proximity
Maximum number of beneficiaries to which a provider can attend (i.e., level of services available based on staff)
Provider type (doctor, hospital, health center, pharmacist,etc.)
Provider banking information (e-payment)
Output
Task Set
Physical assessment of provider
Network referrals definition
Measurable Outcomes
List of qualified/verified providers
Updated list of qualified/verified providers
Updated list of qualified/verified providers