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Question 141 - Certified Health Cloud Accredited Professional discussion

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A pharma company is implementing Health Cloud and trying to track insurance details related to its patients. The company wants to track:

* A list of all payer organizations

* The plans offered by a given payer

* The standard benefits available under a plan

* Which plan a given patient is enrolled in and their specific insurance details

Which set of objects should a consultant implement to meet these requirements?

A.
Account, Purchaser Plan, Member Benefit, Insurance Plan
Answers
A.
Account, Purchaser Plan, Member Benefit, Insurance Plan
B.
Purchaser, Insurance Plan, Insurance Benefit, Plan Detail
Answers
B.
Purchaser, Insurance Plan, Insurance Benefit, Plan Detail
C.
Account, Purchaser Plan, Plan Benefit, Member Plan
Answers
C.
Account, Purchaser Plan, Plan Benefit, Member Plan
D.
Payer, Plan Offering, Coverage Benefit, Member Plan
Answers
D.
Payer, Plan Offering, Coverage Benefit, Member Plan
Suggested answer: C

Explanation:

The set of objects that the consultant should implement to meet the pharma company's requirements are Account, Purchaser Plan, Plan Benefit, and Member Plan. These objects are part of the Health Cloud data model and allow the company to track payer organizations, plans, benefits, and patient enrollments.

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asked 23/09/2024
Oscar Ballabriga
31 questions
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