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 (BLUE)
NumberBLUE-ENR-DEMO-4090
Issued byBluestem Mutual
Valid fromMay 8, 2024
Valid throughMay 8, 2027

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