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Question 135 - Certified Health Cloud Accredited Professional discussion

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A payer needs to enable its agents to answer questions from members regarding their benefits coverage. The payer has already set up the required objects to be populated with the necessary information through an integration.

Which Health Cloud component should a consultant recommend for the Member record page?

A.
Benefits Verification
Answers
A.
Benefits Verification
B.
Eligibility Validation
Answers
B.
Eligibility Validation
C.
Benefits Coverage
Answers
C.
Benefits Coverage
D.
Coverage Confirmation
Answers
D.
Coverage Confirmation
Suggested answer: C

Explanation:

To enable agents to answer questions from members regarding their benefits coverage, a consultant should recommend the Benefits Coverage component for the Member record page. This component displays information such as plan name, effective date, termination date, deductible amount, coinsurance percentage, copay amount, and out-of-pocket maximum for each benefit plan that the member is enrolled in. Benefits Verification, Eligibility Validation, or Coverage Confirmation are not components that exist in Health Cloud.

asked 23/09/2024
Sergio da Costa
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