Salesforce Health-Cloud-Accredited-Professional Exam With Confidence Using Practice Dumps

In Salesforce Health Cloud, managing prior authorizations involves utilizing specific objects designed to handle the complexities of authorization requests and their associated details. For an insurance provider aiming to display preauthorization outcomes from an external system that manages the end-to-end prior authorization process, the appropriate solution involves the Service Preauth and Preauth Detail objects.

Service Preauth Object:

Purpose: The Service Preauth object represents a preauthorization request within Health Cloud. It serves as a container for all relevant information pertaining to a specific authorization, including patient details, requested services, and status updates.

Integration Capability: This object is designed to integrate with external systems, allowing for the seamless import and display of preauthorization outcomes managed outside of Salesforce. By mapping external authorization data to the Service Preauth object, users can view and manage authorization statuses directly within Health Cloud.

Preauth Detail Object:

Purpose: The Preauth Detail object stores detailed information related to each preauthorization request captured in the Service Preauth object. This includes specifics about the services or procedures being authorized, such as service codes, descriptions, quantities, and any other pertinent details.

Integration Capability: By populating the Preauth Detail object with data from external systems, Health Cloud users gain comprehensive visibility into the components of each authorization request, facilitating informed decision-making and efficient care coordination.

Integration Process:

To effectively display preauthorization outcomes from an external system within Health Cloud, consider the following steps:

Data Mapping: Establish a data mapping strategy to align fields from the external system with the corresponding fields in the Service Preauth and Preauth Detail objects. This ensures that all relevant information is accurately captured and displayed within Health Cloud.

Data Import: Utilize Salesforce's data import tools or integration middleware (such as MuleSoft) to import preauthorization data into the Service Preauth and Preauth Detail objects. This process can be automated to ensure real-time or near-real-time updates, providing users with the most current information.

User Access and Permissions: Configure user permissions to ensure that appropriate personnel have access to view and manage preauthorization information. This includes setting up profiles and permission sets that grant access to the Service Preauth and Preauth Detail objects.

The Actionable Relationship Center (ARC) in Salesforce Health Cloud provides a 360-degree view of complex associations between patients, their personal relationships, healthcare practitioners, and organizations. It visually represents these relationships in an interactive graph, helping care coordinators understand and manage these connections effectively.

Key Features of ARC:

Relationship Visualization: Displays all relevant relationships for a patient, including family members, caregivers, and healthcare providers.

Interactive Interface: Users can click on entities to view detailed information and take actions like assigning tasks or sending messages.

Customization: Supports the addition of custom relationship types tailored to the organization’s needs.

Why Other Options Are Incorrect:

Care Team: Focuses on defining and managing members of the care team but does not provide a visual representation of all relationships.

Enhanced Timeline: Tracks patient interactions chronologically but does not map relationships.

Patient Card: Displays patient-specific information but lacks relationship visualization capabilities.

Salesforce Health Cloud’s Intelligent Document Automation streamlines document management and integrates directly into workflows. Below are the key out-of-the-box capabilities leveraged with Intelligent Document Automation:

Record Type Association (A):

Automatically associates received documents with the appropriate record type, such as insurance claims, prescriptions, or referrals.

This ensures accurate categorization and alignment with organizational data models.

Automated Document Checklist Item Creation (C):

Automatically generates checklist items based on received documents, ensuring that follow-up tasks or reviews are created and assigned to appropriate users.

Barcode Scanning (E):

Supports barcode scanning to quickly identify and associate documents with the correct patient or case, improving operational efficiency and reducing errors.

Why Other Options Are Incorrect:

B (Document Rotation): Document rotation is not a built-in feature of Intelligent Document Automation in Health Cloud.

D (eFax Connection): eFax integration requires additional setup or third-party tools and is not an out-of-the-box Health Cloud feature.