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Question 187 - Certified Health Cloud Accredited Professional discussion

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A consultant is working with an insurance provider to set up prior authorizations in Health Cloud. The provider requires a display of preauthorization outcomes from its external system which manages the end-to-end prior authorization process

Which solution is appropriate to meet this use case?

A.
Service Preauth and Preauth Detail
Answers
A.
Service Preauth and Preauth Detail
B.
Care Request and Care Request Item
Answers
B.
Care Request and Care Request Item
C.
Plan Benefit and Plan Benefit Item
Answers
C.
Plan Benefit and Plan Benefit Item
D.
Care Preauth and Care Preauth Item
Answers
D.
Care Preauth and Care Preauth Item
Suggested answer: B

Explanation:

B is correct because Care Request and Care Request Item are the standard objects in Health Cloud that are used to set up prior authorizations. Care Request represents a request for authorization of a service or procedure, and Care Request Item represents a specific service or procedure within the request. These objects can be integrated with an external system that manages the end-to-end prior authorization process, and display the preauthorization outcomes from that system.

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asked 23/09/2024
Guillermo Carrasco
33 questions
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