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Salesforce Exam Health Cloud Accredited Professional Topic 1 Question 38 Discussion

Actual exam question for Salesforce's Health Cloud Accredited Professional exam
Question #: 38
Topic #: 1
[All Health Cloud Accredited Professional Questions]

45 of 60. A payer is looking for a solution to recruit, credential, and onboard providers into its network.

Which Health Cloud add-on should help the payer address these requirements?

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Suggested Answer: D

Benefits Eligibility and Verification is a Health Cloud capability that allows users to verify a patient's insurance plan information and coverage in real time, directly on the patient record1.Users can connect with verification partners easily by integrating with third-party benefits and eligibility services1.Users can also check benefits for medical services, pharmacy, and medical equipment to ensure patients have the required coverage before their visit1.

This capability can help a provider's office to verify a patient's insurance plan information and coverage when they call into the call center to book an appointment.The call center agent can access the patient's account record, click the tab that contains the Benefits Verification component, and see a list of the available health insurance plans for the patient2.The agent can then verify the plan benefits, such as eligibility, coverages, and copayments, by clicking Verify Benefits2.The page then updates with real-time details of the patient's benefits for the selected plan2.


1:Get Started with Benefits Verification Unit | Salesforce Trailhead2:Work with Benefits Verification Unit | Salesforce Trailhead

by Christene at Apr 28, 2024, 08:40 AM

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Carlene
2 months ago
Hmm, I don't know about you guys, but I'm feeling a bit like a provider myself after reading this question. Where's the 'Avoid Payer Headaches' add-on when you need it?
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Reiko
17 days ago
C) Provider Network Management
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Lucille
22 days ago
B) Contact Center for Payers
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Fredric
1 months ago
A) Provider Relationship Management
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Osvaldo
2 months ago
Hah, the payer must be really struggling with their provider network if they need a special Health Cloud add-on to handle it. C seems like the obvious choice, though.
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Kanisha
2 months ago
Provider Network Management (C) sounds like the way to go here. It covers the key areas the payer is looking for - recruitment, credentialing, and onboarding.
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Carry
3 days ago
Utilization Management (D) doesn't seem to address the specific needs mentioned, so I would go with Provider Network Management (C).
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Chantell
11 days ago
Contact Center for Payers (B) might help with communication, but Provider Network Management (C) is more comprehensive.
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Corrinne
18 days ago
Yes, Provider Relationship Management (A) could also be a good choice, but Provider Network Management (C) covers all the requirements.
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Amos
21 days ago
I agree, Provider Network Management (C) seems like the best option for this situation.
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Lawana
2 months ago
Ugh, this question is tricky! I'm torn between A and C, but I'm leaning towards C since it seems to be the most comprehensive solution for the payer's needs.
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Craig
1 months ago
I agree, it seems like the most comprehensive solution for the payer's needs.
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Breana
2 months ago
I think Provider Network Management would be the best choice.
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Clement
2 months ago
I'm not sure, but C) Provider Network Management could also be a good option for managing the network of providers.
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Leatha
2 months ago
I agree with Gwenn. Provider Relationship Management makes sense for recruiting and onboarding providers.
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Gwenn
2 months ago
I think the answer is A) Provider Relationship Management.
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Desirae
2 months ago
I'm not sure, but C) Provider Network Management could also be a good option for managing providers in the network.
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Roselle
2 months ago
I agree with Kate. Provider Relationship Management makes sense for recruiting and onboarding providers.
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Kate
2 months ago
I think the answer is A) Provider Relationship Management.
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