V12 Enterprise

V12 Enterprise by HealthStream is a cloud-native Provider Network Management platform for Payers, MCOs, IPNs, Specialty Networks, Health Systems, and other network organizations — one source of truth for provider data across recruiting, credentialing, contracting, and directories:

• Build your network: track recruitment and streamline provider enrollment and onboarding.
• Automate roster mapping and processing.
• Dynamically link providers and practitioners to multiple provider groups for directory and claims purposes, with group-, practitioner-, or location-based contract terms across one or many networks.
• Automate in-house, delegated, and CVO credentialing workflows with prebuilt interfaces to leading sources such as NPPES and CAQH.
• Initiate automated OIG exclusion checks and Primary Source Verification (PSV) workflows through prebuilt CVO interfaces.
• Manage complex fee schedule negotiations using 28 prebuilt pricing methodologies, including fee-for-service, % of billed, % of charges, value-based/shared savings, and capitated arrangements.
• Keep provider directories accurate and audit-ready to support regulatory compliance and network adequacy.