A provider is looking to view a patient's insurance coverage, including co-pay and deductible information, prior to their appointment.Using Health Cloud, which two steps should a consultant take to access this information in the Benefit Verification component?Choose 2 answers
Answer(s): C,D
To access a patient's insurance coverage, co-pay, and deductible information in the Benefit Verification component of Health Cloud, you need to integrate with external systems (e.g., payers or clearinghouses). Health Cloud provides the Benefit Verification component, which relies on secure API integrations for real-time eligibility and benefits checks.Step-by-Step
Configure the Connection Label with the source system's API details:Extract:"In Benefit Verification setup, specify the Connection Label and configure the external endpoint and API details to connect to the benefit verification source system."(Source: Administer Health Cloud Benefit Verification Setup)Create a named credential to support authenticated callouts:Extract:"Use Named Credentials to securely store authentication settings and endpoint information for callouts to external services (such as clearinghouses or payers) required for benefit verification."(Source: Salesforce Security Guide and Administer Health Cloud Benefit Verification)Why not A or B?The HCBenVerConnect custom setting is not part of the standard configuration for the out-of-the-box Benefit Verification component.Configuring a URI path alone (without API details and credentials) does not enable secure, authenticated communication.
A customer is implementing Intelligent Appointment Management in Health Cloud to eliminate swivel chair to other scheduling systems.Which two connectivity options should a consultant leverage as the scheduling engine?Choose 2 answers
Answer(s): B,C
A payer needs to enable its agents to answer questions from members regarding their benefits coverage. The payer has already set up the required objects to be populated with the necessary information through an integration.Which Health Cloud component should a consultant recommend for the Member record page?
Answer(s): D
A provider is looking to implement Utilization Management in Health Cloud and submit and track prior authorizations.Which two capabilities should a consultant customize to achieve this?Choose 2 answers
Answer(s): A,C
Health Cloud supports Utilization Management (UM) through the Service Request object, which tracks prior authorization requests, and through integration with electronic prior authorization systems using MuleSoft.Customize the Service Request object:Extract:"The Service Request object is at the core of the Utilization Management process in Health Cloud. You can customize fields, page layouts, and automation to match your business processes for prior authorization."(Source: Administer Health Cloud Utilization Management)Integrate using MuleSoft Direct for ePA:Extract:"Integrate Health Cloud Utilization Management with external systems using MuleSoft Direct, enabling electronic submission and tracking of prior authorizations."(Source: Administer Health Cloud Utilization Management Integration)Why not B or D?There is no standard custom setting called UtilizationManagementSettings for this process.Support Process is more for standard Salesforce Cases and not directly linked to Utilization Management flows in Health Cloud.
A company based in the United States requires a way to track medications that patients take in a standardized format and detect potential drug-to-drug interactions.Which two Health Cloud solutions should a consultant recommend?Choose 2 answers
Answer(s): B,D
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