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A payer needs to triage provider and care team inquiries around member plan benefits and member care. The agents also need to be informed about changes in records that require attention.

Which three permission set licenses should a consultant assign to the security model for these users?

A.

Service Cloud User permission set license

B.

OmniStudio User permission set license

C.

CRM Content User permission set license

D.

Health Cloud Platform permission set license

E.

Contact Center for Health Cloud permission set license

Users need to analyze their patient or member referrals through a prebuilt dashboard that includes reports on important aspects of their referral management.

What should a consultant do in this case?

A.

Install the unmanaged extension package that delivers Health Cloud Reports for Patient Referral Management.

B.

Upload a Provider Referral Dashboard Template and enable the action bar so that users can generate a Patient Referral Management report.

C.

Install the add-on package that delivers Health Cloud Reports for Utilization Management and Health Cloud for Patient Referral Management.

D.

Add extra picklist values to Account record type and add fields on the page layout for patient referral data for CRM Analytics to generate a Patient Referral Management report.

Bloomington Caregivers needs to monitor care plan adherence for the patients at various facilities within its network.

What is available to extend the reporting capability of Health Cloud?

A.

CRM Analytics for Health Cloud

B.

Insights for Health Cloud

C.

Reporting unmanaged package

D.

Care Management Extension

Bloomington Caregivers uses Health Cloud and has an integration setup with an external payer system.

Which three business level APIs should a consultant recommend to help the payer organization electronically receive requests for care services?

Choose 3 answers

A.

Care Services

B.

Prior Authorization

C.

Referral Request

D.

Benefit Verification

E.

Admission, Discharge, and Transfer (ADT)

A pharmaceutical company is looking to support patients throughout their clinical journey. One of the factors the company needs to track is the socioeconomic and cultural barriers that could hinder a patient's process.

Which Health Cloud capability should a consultant implement to fulfill this requirement?

A.

Social Determinants of Health

B.

Clinical Berries

C.

Utilization management

D.

Care Blockers

While implementing contracting as part of Provider Network Management, a customer wants to manage different types of payments.

Which object should a consultant configure to achieve this?

A.

Value-Based Agreement

B.

Agreement Detail

C.

Payment Agreement

D.

Care Fee Agreement

A provider is looking to implement Utilization Management in Health Cloud and submit and track prior authorizations.

Which two capabilities should a consultant customize to achieve this?

Choose 2 answers

A.

Customize the Service Request object.

B.

Create a new UtilizationManagementSettings record in Custom Settings.

C.

Integrate using MuleSoft Direct for electronic Prior Authorizations (ePA).

D.

Create a new Support Process to match the customer’s process steps.

Bloomington Caregivers is looking to migrate from Service Cloud to Health Cloud to take advantage of the prebuilt healthcare features and functionality.

Which three prerequisites should Bloomington Caregivers’ administrators complete to successfully install the Health Cloud managed package in its org?

Choose 3 answers

A.

Enable contacts to relate to multiple accounts.

B.

Enable Chatter settings from Setup.

C.

Log a support case to have person accounts enabled.

D.

Make data protection details available in records.

E.

Enable person accounts from Setup.

While a consultant is implementing Integrated Care Management for a customer, the customer requests that a change is made to the Care Plan creation wizard.

Which underlying component should the consultant customize to achieve this?

A.

Flow

B.

Field Sets

C.

OmniScript

D.

FlexCard

During a design session, the client asks for best practices around when to use DataRaptors vs. Integration Procedures.

For which scenario should a consultant advise the client to use a single DataRaptor?

A.

The dataset required needs to read two SObjects with a clearly defined relationship.

B.

The action must perform a SendMail task and check for any errors.

C.

The task requires both a read and write of SObject data.

D.

The dataset requires connecting to an external data source, such as CSV or REST API.