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Question 54 - Certified Health Cloud Accredited Professional discussion

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A Payer Service Cloud org uses Accounts and contacts to model Health Insurance Members. While all teams within the organization Work with all members, only some teams require HC capabilities. What is the recommended best practice for modeling members in HC for this organization?

A.
Only groups needing HC capabilities need to use Person Accounts.
Answers
A.
Only groups needing HC capabilities need to use Person Accounts.
B.
Model as Person Accounts, whether they are using HC capabilities or not.
Answers
B.
Model as Person Accounts, whether they are using HC capabilities or not.
C.
Account Record Types for existing members can remain as-is. Future members should be created as Person Accounts.
Answers
C.
Account Record Types for existing members can remain as-is. Future members should be created as Person Accounts.
D.
Use the individual model with HC
Answers
D.
Use the individual model with HC
Suggested answer: B

Explanation:

According to theHealth Cloud Implementation Guide, the recommended best practice for modeling members in Health Cloud for a payer service cloud org that uses accounts and contacts to model health insurance members is to model them as person accounts, whether they are using Health Cloud capabilities or not. Person accounts are a type of account that combines account and contact information in a single record. They are suitable for representing individual consumers in healthcare and life sciences. Using person accounts for all members can simplify data management and avoid data duplication. Only groups needing Health Cloud capabilities need to use person accounts is not a recommended best practice, as it can create inconsistency and complexity in data modeling. Account record types for existing members can remain as-is is not a recommended best practice, as it can limit the functionality and integration of Health Cloud features. Using the individual model with Health Cloud is not a valid option, as the individual model is not supported by Health Cloud.

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asked 23/09/2024
Carlos Antonio Cardenas Lee
35 questions
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