An external provider wants to get a patient's allergy information from Bloomington Caregivers'
Health Cloud system.
Which Health Cloud API should a consultant recommend?
B
Explanation:
Step-by-Step
Requirement:
External provider needs access to patient allergy information.
Interoperability API:
Salesforce Health Cloud provides FHIR-based Interoperability APIs that expose clinical data, including
AllergyIntolerance resources.
“Use the Health Cloud Interoperability API (FHIR R4) to retrieve AllergyIntolerance resources and
other clinical data for a patient.”
— Health Cloud Interoperability API Guide
Other Options:
Clinical Summary Healthcare API: Provides a summary but not structured, granular allergy data.
AllergyMedication API: Not a standard Salesforce API.
Patient Healthcare API: Broader resource, but allergies specifically are available through the
Interoperability API.
Reference:
Health Cloud Interoperability API Guide
What are three requirements for implementing patients or members in Health Cloud?
Choose 3 answers
A, C, D
Bloomington Caregivers needs to use the objects for the Clinical data model as part of its new Health
Cloud implementation.
Which preference should Bloomington Caregivers' administrator ensure is enabled?
D
A MedTech company needs to manage its run rate business to ensure contract compliance for its
customers.
Which two features of Health Cloud should a consultant recommend the company use?
Choose 2 answers
A, B
A pharma company wants the ability to:
Upload a patient's insurance card, including automatic Member Plan record creation
Run a benefits verification check
Schedule on behalf of the patient with a provider
Cloud Accredited Professional
Which set of Health Cloud capabilities should enable the company to build this business process?
D
Explanation:
Step-by-Step
Business Process Capabilities:
Intelligent Document Automation: Upload and process patient insurance cards.
Intelligent Document Reader: OCR and extract information to automatically create Member Plan
records.
Benefits Verification: Check and verify patient insurance benefits.
Intelligent Appointment Management: Schedule on behalf of the patient with providers.
Salesforce Documentation Reference:
“Use Intelligent Document Automation and Intelligent Document Reader to upload and extract
insurance card details, with automated Member Plan creation. Use Benefits Verification and
Intelligent Appointment Management to enable scheduling and eligibility checks.”
— Health Cloud: Intelligent Document Automation
— Health Cloud: Benefits Verification
— Health Cloud: Intelligent Appointment Management
Why not the other options?
Only D includes all needed automation for insurance card processing, Member Plan record creation,
benefits verification, and scheduling.
Reference:
Intelligent Document Automation
Intelligent Document Reader
Benefits Verification
Intelligent Appointment Management
A health plan provider would like to manage prior authorizations with predefined approval criteri
a.
Which three features in Health Cloud should a consultant recommend in this case?
Choose 3 answers
C, D, E
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud
documents that you have with Reference
Business Rules Engine (BRE):
Enables you to define, automate, and manage approval criteria for prior authorizations.
Extract:
“Use Business Rules Engine to automate decisions and apply approval criteria for utilization
management and prior authorizations.”
— OmniStudio: Business Rules Engine
Utilization Management Data Model:
Provides standard Health Cloud objects to manage prior authorizations, including requests,
approvals, and denials.
Extract:
“Health Cloud Utilization Management provides a complete data model for tracking prior
authorization requests and decisions.”
— Health Cloud: Utilization Management Data Model
Out-of-the-box Process Libraries:
Prebuilt processes for common healthcare workflows, including prior authorizations.
Extract:
“Out-of-the-box process libraries provide reusable flows for utilization management, including
authorizations, appeals, and notifications.”
— Administer Health Cloud: Process Libraries
Incorrect Options:
A . Claims data model: Related to claims, not prior authorizations.
B . Intelligent Appointment Management: Focused on scheduling, not utilization management or
prior authorization.
Reference:
OmniStudio: Business Rules Engine
Health Cloud: Utilization Management Data Model
Administer Health Cloud: Process Libraries
A pharma company wants to leverage Provider Search to help patients find nearby infusion clinics.
Which Health Cloud tool should a consultant leverage to drive performance and scalability?
B
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud
documents that you have with Reference
Provider Search and Performance:
The Data Processing Engine (DPE) in Health Cloud enables fast, scalable searches across large
provider directories. It is specifically designed for performance and scalability in Provider Search
scenarios.
Extract:
“Health Cloud leverages the Data Processing Engine to deliver scalable, high-performance Provider
Search for finding care locations and providers based on patient preferences and proximity.”
— Health Cloud: Provider Search
Other Options:
Pipeline Analytics: Used for data insights, not real-time search.
Business Rules Engine: Handles rules/logic, not high-volume search.
Flow for Industries: Automates processes, but DPE is the correct scalable search tool.
Reference:
Health Cloud: Provider Search
Bloomington Caregivers is looking to streamline the user experience for its call center agents. On the
patient's record, the company wants the ability to:
Inform agents about changes in information
View basic details about a patient's insurance
Have a complete view of all engagement interactions in one place
Which three components from Contact Center for Health Cloud should a consultant use to achieve
this?
B, C, E
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud
documents that you have with Reference
Record Alerts:
Notify agents of important or recent changes in patient information.
Extract:
“Use Record Alerts to keep agents informed of changes and critical updates on the patient’s record.”
— Contact Center for Health Cloud Overview
Timeline:
Provides a single, unified view of all engagement interactions, encounters, and activities with a
patient.
Extract:
“Timeline shows a consolidated history of patient interactions and engagement, giving agents a
complete view in one place.”
— Health Cloud: Enhanced Timeline
Member Plan FlexCard:
Displays key patient insurance information directly on the record page.
Extract:
“The Member Plan FlexCard displays essential details about the patient’s insurance coverage for
agents.”
— OmniStudio: FlexCards
Other Options:
A . Identity Verification: Used for verifying caller identity, not information display.
D . Action Launcher: Launches actions/processes, not for displaying info or alerts.
Reference:
Contact Center for Health Cloud Overview
Health Cloud: Enhanced Timeline
OmniStudio: FlexCards
Bloomington Caregivers would like to bulk upload information to support Provider Search and
Provider Relationship Card.
What are the two best practice recommendations to upload this information?
Choose 2 answers
A, B
A provider wants its care coordinators to track a series of problems, goals, and interventions (PGIs)
related to a patient's care in a repeatable, efficient way.
Which approach should a consultant recommend?
C