A health plan provider would like to manage prior authorizations with predefined approval criteria.Which three features in Health Cloud should a consultant recommend in this case?Choose 3 answers
Answer(s): C,D,E
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with ReferenceBusiness Rules Engine (BRE):Enables you to define, automate, and manage approval criteria for prior authorizations.Extract:"Use Business Rules Engine to automate decisions and apply approval criteria for utilization management and prior authorizations."-- OmniStudio: Business Rules EngineUtilization Management Data Model:Provides standard Health Cloud objects to manage prior authorizations, including requests, approvals, and denials.Extract:"Health Cloud Utilization Management provides a complete data model for tracking prior authorization requests and decisions."-- Health Cloud: Utilization Management Data ModelOut-of-the-box Process Libraries:Prebuilt processes for common healthcare workflows, including prior authorizations.Extract:"Out-of-the-box process libraries provide reusable flows for utilization management, including authorizations, appeals, and notifications."-- Administer Health Cloud: Process LibrariesIncorrect Options:A . Claims data model: Related to claims, not prior authorizations.B . Intelligent Appointment Management: Focused on scheduling, not utilization management or prior authorization.
OmniStudio: Business Rules EngineHealth Cloud: Utilization Management Data ModelAdminister Health Cloud: Process Libraries
A pharma company wants to leverage Provider Search to help patients find nearby infusion clinics.Which Health Cloud tool should a consultant leverage to drive performance and scalability?
Answer(s): B
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with ReferenceProvider Search and Performance:The Data Processing Engine (DPE) in Health Cloud enables fast, scalable searches across large provider directories. It is specifically designed for performance and scalability in Provider Search scenarios.Extract:"Health Cloud leverages the Data Processing Engine to deliver scalable, high-performance Provider Search for finding care locations and providers based on patient preferences and proximity."-- Health Cloud: Provider SearchOther Options:Pipeline Analytics: Used for data insights, not real-time search.Business Rules Engine: Handles rules/logic, not high-volume search.Flow for Industries: Automates processes, but DPE is the correct scalable search tool.
Health Cloud: Provider Search
Bloomington Caregivers is looking to streamline the user experience for its call center agents. On the patient's record, the company wants the ability to:Inform agents about changes in informationView basic details about a patient's insuranceHave a complete view of all engagement interactions in one placeWhich three components from Contact Center for Health Cloud should a consultant use to achieve this?
Answer(s): B,C,E
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with ReferenceRecord Alerts:Notify agents of important or recent changes in patient information.Extract:"Use Record Alerts to keep agents informed of changes and critical updates on the patient's record."-- Contact Center for Health Cloud OverviewTimeline:Provides a single, unified view of all engagement interactions, encounters, and activities with a patient.Extract:"Timeline shows a consolidated history of patient interactions and engagement, giving agents a complete view in one place."-- Health Cloud: Enhanced TimelineMember Plan FlexCard:Displays key patient insurance information directly on the record page.Extract:"The Member Plan FlexCard displays essential details about the patient's insurance coverage for agents."-- OmniStudio: FlexCardsOther Options:A . Identity Verification: Used for verifying caller identity, not information display.D . Action Launcher: Launches actions/processes, not for displaying info or alerts.
Contact Center for Health Cloud OverviewHealth Cloud: Enhanced TimelineOmniStudio: FlexCards
Bloomington Caregivers would like to bulk upload information to support Provider Search and Provider Relationship Card.What are the two best practice recommendations to upload this information?Choose 2 answers
Answer(s): A,B
A provider wants its care coordinators to track a series of problems, goals, and interventions (PGIs) related to a patient's care in a repeatable, efficient way.Which approach should a consultant recommend?
Answer(s): C
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