SAMPLE for the demonstration: a fictional certificate, not a real document. In real use this is the scan or PDF the coordinator attaches.

Payer enrollment

Ridgeline Health Partners credential file

Issued toDr. Samuel Ortiz, MD
CredentialPayer enrollment (BLUE)
NumberBLUE-ENR-DEMO-4078
Issued byBluestem Mutual
Valid fromMay 14, 2026
Valid throughMay 14, 2029

Fictional provider and number. Close this tab to return to the Credential Tracker.