Service 9 of 9
Network development & management
Builds and maintains the provider and pharmacy networks payors depend on.
- Payors
- Providers
How it runs
AI-led: 2 of 4 steps
AI + person-led: 1 of 4 steps
Person-led: 1 of 4 steps
- Maps coverage gaps by geography, specialty and volume AI
- Tracks credentialing documents and expirations AI
- Handles recruiting, contracting and relationships Person
- Reviews network performance with each client AI + person
Always reserved for a person: People handle contracts and relationships.
Who it is for
- Payors who need access for injured workers and members in a given area
- Pharmacies and providers who want to join a network
- Network managers tracking credentialing and expirations
How it connects
- Eligibility & verification: Network status is part of every coverage check.
- Help desk: Pharmacies asking to join are routed to the network team.
- Invoicing & billing: Contract terms set the rules bills are priced by.
What gets measured
The numbers we report to you.
Targets are agreed with each client, per task. We report against them, and automation is held to historical human accuracy.
- Access Members and injured workers within reach of an in-network provider.
- Credentialing currency Network members with documents in date.
- Recruitment Gaps closed, by geography and specialty.
- Network performance Reviewed with each client on an agreed cadence.
Next service: Prior authorization →
Talk to us
Talk to us about network development & management.
We'll show you how we'd run it: what AI would handle, where your team or ours would decide, and what we'd measure.
Talk to us- Pharmacy help desk · Workers' comp
- 844.328.2048
- Pharmacy help desk · Auto no-fault
- 844.569.8876
- helpdesk@health-lift.com
- Billing address
- PO Box 520190, Salt Lake City, UT 84152