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NEW QUESTION # 36
Bloomington Caregivers is looking to migrate from Service Cloud to Health Cloud to take advantage of the prebuilt healthcare features and functionality.
Which three prerequisites should Bloomington Caregivers' administrators complete to successfully install the Health Cloud managed package in its org?
Choose 3 answers
Answer: A,B,E
NEW QUESTION # 37
Bloomington Caregivers uses Health Cloud and has an integration setup with an external payer system. Which three business level APIs should a consultant recommend to help the payer organization electronically receive requests for care services?
Answer: A,B,C
Explanation:
The payer-facing business APIs relevant to care-service transactions are Prior Authorization, Referral Request, and Benefit Verification. Prior Authorization supports authorization requests, Referral Request supports referral workflows, and Benefit Verification supports electronic coverage and benefit inquiries. ADT is an event-oriented clinical messaging pattern rather than one of the three requested payer business APIs in this scenario. 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 (Prior Authorization; Referral Request; Benefit Verification) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Integration; Clinical
NEW QUESTION # 38
A consultant is working with an insurance provider to set up prior authorizations in Health Cloud. The provider requires a display of preauthorization outcomes from its external system which manages the end-to-end prior authorization process.
Which solution is appropriate to meet this use case?
Answer: C
Explanation:
In Salesforce Health Cloud, when dealing with prior authorizations, the correct data model objects are:
Service Preauth → Represents the overall prior authorization request (at the header level).
Preauth Detail → Captures the individual service line items or outcomes associated with the prior authorization.
This structure allows Health Cloud to integrate with an external utilization management system that handles the full prior authorization process. The Service Preauth object acts as the container for the request, while Preauth Detail records capture outcomes, decisions, and details returned from the external system.
This is exactly suited to the requirement:
"The provider requires a display of preauthorization outcomes from its external system which manages the end-to-end prior authorization process." Why not the others?
A . Plan Benefit and Plan Benefit Item - These are used to model insurance plan coverage and benefits, not authorization workflows.
B . Care Preauth and Care Preauth Item - These are older, deprecated objects in favor of the Service Preauth data model.
D . Care Request and Care Request Item - These are used to track referrals and service requests (e.g., a doctor requesting lab work), but not prior authorization outcomes.
Salesforce Health Cloud Reference:
Salesforce Health Cloud Developer Guide - Utilization Management Data Model:
"The Service Preauth object represents the prior authorization request and its details. The Preauth Detail object contains service line items and outcomes for the prior authorization request." Salesforce Help: Utilization Management Data Model Salesforce Health Cloud Implementation Guide - Prior Authorizations
NEW QUESTION # 39
A provider system wants to leverage Health Cloud to enable its care providers to conduct video visits with their patients to discuss socioeconomic factors that impact their care. Which capability should a consultant recommend for this use case?
Answer: A
Explanation:
Health Cloud ' s Virtual Care feature enables embedded video consultations directly within Salesforce, allowing care providers to hold secure telehealth visits with patients. Virtual Care supports remote care delivery and video visits while integrating with scheduling and patient-access experiences. 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 (Virtual Care) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Virtual Care
NEW QUESTION # 40
Bloomington Caregivers needs to migrate Health Condition records from its previous org with International Classification of Diseases (ICD) information.
Which two objects should an administrator load with data prior to migrating this information, to ensure a successful data load?
Choose 2 answers
Answer: B,D
NEW QUESTION # 41
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