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Question 49 - Certified Health Cloud Accredited Professional discussion

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Which three standard objects are used in the workflow to manage utilization data? (Choose 3)

A.
Care Request Plan
Answers
A.
Care Request Plan
B.
Care Diagnosis
Answers
B.
Care Diagnosis
C.
Care Authorization
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C.
Care Authorization
D.
Care Request
Answers
D.
Care Request
E.
Care Request Drug
Answers
E.
Care Request Drug
Suggested answer: A, C, D

Explanation:

According to the Salesforce documentation2, the following standard objects are used in the workflow to manage utilization data:

Care Request Plan: A care request plan is an object that stores information about the plan of care for a member.It includes details such as the diagnosis, the service type, the start and end dates, and the status of the plan2.

Care Authorization: A care authorization is an object that stores information about the approval or denial of a service or payment by a payer.It includes details such as the authorization number, the decision date, the decision reason, and the status of the authorization2.

Care Request: A care request is an object that stores information about the request for a service or payment by a provider or a member.It includes details such as the request type, the request date, the priority, and the status of the request2.

asked 23/09/2024
Nick Wells
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