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Question 214 - Certified Health Cloud Accredited Professional discussion

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A provider's office wants to verify a patient's insurance plan information and coverage when they call into the call center to book an appointment.

Which capability should a consultant leverage to address this requirement?

A.
Utilization Management
Answers
A.
Utilization Management
B.
Intelligent Appointment Management
Answers
B.
Intelligent Appointment Management
C.
identity Verification
Answers
C.
identity Verification
D.
Benefits Eligibility and Verification
Answers
D.
Benefits Eligibility and Verification
Suggested answer: D

Explanation:

Benefits Eligibility and Verification is a Health Cloud capability that allows users to verify a patient's insurance plan information and coverage in real time, directly on the patient record1.Users can connect with verification partners easily by integrating with third-party benefits and eligibility services1.Users can also check benefits for medical services, pharmacy, and medical equipment to ensure patients have the required coverage before their visit1.

This capability can help a provider's office to verify a patient's insurance plan information and coverage when they call into the call center to book an appointment.The call center agent can access the patient's account record, click the tab that contains the Benefits Verification component, and see a list of the available health insurance plans for the patient2.The agent can then verify the plan benefits, such as eligibility, coverages, and copayments, by clicking Verify Benefits2.The page then updates with real-time details of the patient's benefits for the selected plan2.

1:Get Started with Benefits Verification Unit | Salesforce Trailhead2:Work with Benefits Verification Unit | Salesforce Trailhead


asked 23/09/2024
Samori Augusto
43 questions
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