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. Julian Moore, MD
CredentialPayer enrollment (HARB)
NumberHARB-ENR-DEMO-4119
Issued byHarborline Health
Valid fromJul 29, 2024
Valid throughJul 29, 2027

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