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NEW QUESTION # 105
A consultant needs to implement Health Cloud and is in the discovery stage of the project.
Which three approaches should the consultant consider to collect information to understand where Health Cloud fits within the application architecture?
Answer: A,C,E
NEW QUESTION # 106
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?
Answer: A,C,D
Explanation:
Managing prior authorizations with automated rules requires the Utilization Management data model (CareRequest, CareRequestItem), Business Rules Engine (BRE / Expression Sets) for decision logic, and prebuilt out-of-the-box Process libraries. Utilization Management structures care requests, authorization review, medical-necessity determination, concurrent review, and related payer-provider approval workflows.
Business Rules Engine uses decision matrices, expression sets, and reusable rule templates to externalize decision logic from user-interface components and workflows. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Out-of-the-box Process libraries; Business Rules Engine; Utilization Management data model) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Utilization Management; Business Rules Engine
NEW QUESTION # 107
Bloomington Caregivers has been using the legacy Health Cloud electronic health record (EHR) data model and wants to move to the FHIR R4 clinical data model.
Which two steps should a consultant take to complete this?
Answer: C,D
NEW QUESTION # 108
A provider wants to capture non-clinical factors that impact its patient population, such as food insecurity and lack of transportation. Which approach should a consultant take to meet this requirement?
Answer: A
Explanation:
Health Cloud provides a purpose-built Social Determinants of Health (SDOH) data model (CareBarrier, CareBarrierType, CareIntervention) designed to capture and address non-clinical factors. Social Determinants of Health capture nonclinical factors such as transportation, food, housing, and financial barriers and connect those determinants to care barriers and interventions. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Leverage the Social Determinants data model in Health Cloud and extend it as needed.) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Social Determinants
NEW QUESTION # 109
A payer needs to triage provider and care team inquiries around member plan benefits and member care. The agents also need to be informed about changes in records that require attention. Which three permission set licenses should a consultant assign to the security model for these users?
Answer: A,B,D
Explanation:
Payers deploying Health Cloud Contact Center require: (1) Health Cloud Platform PSL for core health entities, (2) Contact Center for Health Cloud PSL for console & record alert features, and (3) OmniStudio User PSL for guided interaction components. OmniStudio separates presentation, guided interaction, Salesforce data access, and server-side orchestration through FlexCards, OmniScripts, DataRaptors/Data Mappers, and Integration Procedures. Benefits Eligibility and Verification exposes insurance coverage information such as eligibility, copays, deductibles, coinsurance, and benefit limits through healthcare- specific workflows and integrations. From an implementation perspective, the configuration should use delivered Health Cloud and Salesforce mechanisms first, preserving standard relationships, security enforcement, and upgrade compatibility while limiting custom code to cases where declarative capabilities are insufficient. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (OmniStudio User permission set license; Contact Center for Health Cloud permission set license; Health Cloud Platform permission set license) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Implement - OmniStudio; Benefits
NEW QUESTION # 110
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