Key Capabilities
Provider AQ provides automated workflows across the lifeycle of provider relationship and network management. Key capabilities incude:
- Recruiting
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- Role management
- Job posting & distribution
- Candidate tracking
- CV parsing & skills matching
- Workflow automation
- Interaction logging
AI Agents:
- Job posting assistant
- Candidate ranking & fit scoring
- Interview question generation & optimization
- Credentialing
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- Credentialing cycles (initial & recredentialing)
- Primary source verification
- CAQH sync
- Expirables tracking
- Sanctions & exclusions monitoring
- Audit trail management
- In partnership with Verifiable
- Privileging
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- Privilege template & bylaws management
- Pre-eligibility screening
- Provider portal submissions
- Approval routing (peer review / committees)
- FPPE/OPPE tracking
- Renewal oversight
AI Agents:
- Eligibility recommendations
- Risk scoring
- Contracting
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- Contract & clause libraries
- Document generation & redlining
- Approval workflows
- Fee schedules
- Network participation
- Negotiation workflows
- E-signature integration
AI Agents:
- AI-powered clause recommendation
- Drafting assistance
- Negotiation support
- Anomaly detection in contract edits
- Onboarding
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- Provider portal
- Onboarding and renewal forms
- Onboarding case/task management
- Workflow orchestration
- Document checklist submissions
- Training/orientation modules
- External systems integration
- Go-live gating
AI Agents:
- AI-assisted forms
- AI submission review and recommendation
- Service agent copilot
- Security and Compliance
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- Enterprise grade security and compliance
- HIPAA support
- Risk Management
AI Agents:
- Built on Agentforce with "Trust Layer" controls
- Zero data retention
- Data masking
- Grounding
- Prompt defense
- Toxicity detection
- Comprehensive audit trails
- Reporting & Analytics
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- Operational reporting across functions
- KPIs and dashboards
- Compliance reporting
AI Agents:
- Natural language reporting and ad-hoc query
- Process and task mining for workflow insights
- AI-driven improvement roadmap
- Built On
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Salesforce
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Health Cloud
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Agentforce
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Key Benefits
Streamlined Operations
Reduce manual effort and complexity across recruiting, credentialing, contracting, and onboarding. Connect teams and systems with intelligent workflows that eliminate friction and duplication.
Faster, Smarter Decisions
Use real-time insights and AI recommendations to guide actions across the provider lifecycle. Anticipate compliance risks, expirations, and staffing gaps before they impact operations.
Enhanced Provider Experience & Satisfaction
Simplify every interaction for providers — from onboarding to contracting to renewal. Build trust and transparency between payers and providers through seamless digital collaboration.
Continuous Evolution
Continuously learn from operational data to improve efficiency, compliance, and satisfaction. Turn insights into actions with adaptive, AI-driven process optimization.
Trusted Foundation
Built on Salesforce Health Cloud and Agentforce for secure, scalable AI operations. Delivered as a managed Solution‑as‑a‑Service by Synaptic — combining innovation with reliability.