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NEW QUESTION # 53
Bloomington Caregivers has more than 1 million patients and each patient has an average of 10 claims a year, which are maintained in an external claims system. Management would like their agents to view all the claims of patients in Salesforce on demand when they open the patient ' s record. What should a consultant recommend as the appropriate integration pattern to achieve this?
Answer: C
Explanation:
With 10M+ records stored externally, leveraging Salesforce Connect and External Objects displays claims on demand via OData without consuming massive Salesforce storage. 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 (Configure the claims system as an external data source and leverage external objects with the claims data.) 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; Claims
NEW QUESTION # 54
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: A,C
NEW QUESTION # 55
Care managers at Bloomington Caregivers call patients after they are discharged from a hospital to ask a series of questions, which the care manager enters into Health Cloud. The patient is then automatically assigned a personalized care plan based on the answers they provided. Which two capabilities should a consultant leverage together to fulfil this requirement?
Answer: A,B
Explanation:
Discovery Framework conducts structured post-discharge intake assessments, which trigger and auto-populate personalized care plans in Integrated Care Management. Discovery Framework provides reusable assessment questions, versioned question sets, conditional branching, scoring, response capture, and OmniStudio-based assessment experiences. Integrated Care Management structures care plans around reusable problems, goals, interventions, assessments, and care-team activities so care coordination can be standardized and personalized. 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 (Integrated Care Management; Discovery Framework) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Discovery Framework; Care Plan
NEW QUESTION # 56
A payer receives faxes for clinical review as part of the determination process. The payer needs Health Cloud to automatically capture the data from the documents received from patients and manage the end-to-end approval process.
Which two Health Cloud capabilities should a consultant recommend as a way to build this process?
Choose 2 answers
Answer: A,C
Explanation:
Step-by-Step Explanatio n:
Intelligent Document Automation:
Exact Extract:
"Intelligent Document Automation in Health Cloud automatically extracts data from incoming documents, including faxes, and creates structured data for downstream workflows." Reference:
Utilization Management:
Exact Extract:
"Utilization Management provides workflows and automation to support end-to-end approval processes, including clinical review and authorizations." Why Not Other Options?
Integrated Care Management: Focuses on care plans and assessments, not document automation or clinical approval processes.
Care Authorizations: Part of Utilization Management but not the capability for document ingestion and process automation.
NEW QUESTION # 57
A customer wants to view and navigate to critical insurance, clinical, and primary care physician information on a patient's profile.
Which Health Cloud capability should a consultant implement?
Answer: A
Explanation:
In Salesforce Health Cloud, when a customer wants to view and navigate to critical patient information such as insurance, clinical, and primary care physician details, the right feature to implement is the Advanced Patient Card.
The Advanced Patient Card provides a configurable panel that displays key patient information at a glance directly on the patient's profile.
It allows quick navigation to related records (insurance coverage, care team/PCP, clinical info, etc.) without switching pages.
It's specifically designed to give providers and service representatives a 360-degree view of the patient's most important details.
Why not the others?
A . Enhanced Highlights Panel - This is a general Salesforce feature to show record highlights, but it's not tailored to healthcare-specific patient insights.
B . Enhanced Timeline - Useful for viewing chronological events (interactions, activities, encounters), but not for quick access to insurance/PCP details.
D . Patient Path - This is a visual guide for patient journeys or care programs, not for surfacing key profile details.
Salesforce Health Cloud Reference:
Salesforce Health Cloud Implementation Guide - Advanced Patient Card:
"Use the Advanced Patient Card to display a patient's most critical information-such as coverage, conditions, medications, and care team members-directly on the patient profile for easy reference and navigation." Salesforce Help: Advanced Patient Card
NEW QUESTION # 58
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