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Salesforce Exam Health Cloud Accredited Professional Topic 2 Question 64 Discussion
Topic #: 2
A payer is implementing Health Cloud and wants to leverage predefined rules for its prior authorization request review process. The payer would like to leverage out-of-the-box Health Cloud functionality to drive speed to value.
Which prebuilt feature should a consultant recommend the payer leverage?
For a payer implementing Health Cloud, leveraging predefined rules for prior authorization reviews can significantly improve efficiency and speed. Salesforce Health Cloud provides Expression Set Templates as an out-of-the-box feature to achieve this.
Key Features of Expression Set Templates:
Predefined Rules:
Expression Set Templates come with prebuilt rule sets that can evaluate conditions, making them ideal for automating prior authorization request reviews.
Customizable Logic:
While they provide predefined logic, templates can also be customized to align with specific payer policies or regulatory requirements.
Faster Implementation:
Using out-of-the-box templates accelerates time-to-value, as they require minimal configuration compared to building rules from scratch.
Why Other Options Are Less Suitable:
A . Integration Procedures: Focuses on data integration and server-side processing but does not address predefined rules for authorization reviews.
C . FlexCards: Provides UI components for displaying information but does not support rule evaluation.
D . OmniScript Templates: Useful for guided workflows but not specifically for predefined rule management.
Andra
5 days ago