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NEW QUESTION # 108
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: A,D,E
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference Business 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 Engine
Utilization 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 Model
Out-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 Libraries
Incorrect Options:
A . Claims data model: Related to claims, not prior authorizations.
B . Intelligent Appointment Management: Focused on scheduling, not utilization management or prior authorization.
Reference:
OmniStudio: Business Rules Engine
Health Cloud: Utilization Management Data Model
Administer Health Cloud: Process Libraries
NEW QUESTION # 109
Bloomington Caregivers needs to use the objects for the Clinical data model as part of its new Health Cloud implementation.
Which preference should Bloomington Caregivers' administrator ensure is enabled?
Answer: B
NEW QUESTION # 110
An administrator for Bloomington Caregivers has added an Enhanced Timeline to an existing Patient Lightning page showing patient interactions, including records from a custom object developed to track caregiver preferences.
What else should the administrator complete post deployment of the enhanced timeline?
Answer: A
Explanation:
After deploying Enhanced Timeline, you must register the custom object to the Timeline before it will appear in the Timeline component on the Lightning page.
Extract:
"Add new objects to the Timeline after deployment in setup, then update the Timeline component to include them." (Source: Administer Health Cloud - Enhanced Timeline)
NEW QUESTION # 111
A customer wants to move its existing Patient-Reported Outcome Measures (PROMs) surveys to Health Cloud. It requires a solution that allows for question banks and version control for this standardized survey.
Which solution should a consultant recommend?
Answer: D
Explanation:
Step-by-Step Explanatio n:
Discovery Framework for PROMs Surveys:
The Discovery Framework in Health Cloud supports question banks, standardized survey templates, and version control.
Exact Extract:
"Use the Discovery Framework to create assessments with question banks, reusable questions, and versioning to manage standardized surveys such as PROMs." Reference:
Why Not Other Options?
Salesforce Surveys/Salesforce Feedback Management: Support surveys, but do not natively support question banks or version control for standardized, healthcare-specific forms.
Health Cloud Forms: Used for simple data capture, not for full-featured assessments with question banks and versioning.
Conclusion:
The Discovery Framework is the recommended solution for managing PROMs with question banks and version control.
NEW QUESTION # 112
A MedTech customer is looking to track surgical case visits for reps to sell their products, leveraging Intelligent Sales.
Which object should a consultant configure to track this visit type?
Answer: D
NEW QUESTION # 113
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