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. Hannah Weiss, DO
CredentialPayer enrollment (HARB)
NumberHARB-ENR-DEMO-4089
Issued byHarborline Health
Valid fromJan 1, 2026
Valid throughJan 1, 2029

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