最新のAP-211問題集で試験を準備する

A payer needs to work with plan members and medical providers to influence decisions through a case-by- case review of the appropriateness of care. When gathering requirements for this use case, which two Utilization Management processes should a consultant discuss with the client?

• A. Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions
• B. Considering the number of intake agents who will be using Health Cloud
• C. Designing Next Best Action and Recommendations for the care management team
• D. Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review

A payer needs to manage requests for concurrent review of prior authorizations within Health Cloud and wants to use out-of-the-box record types and page layouts. However, the payer ' s Salesforce administrator does not see any preconfigured record types or page layouts for prior authorizations in the payer ' s Salesforce org. What should a consultant recommend to the Salesforce administrator to expedite implementation?

• A. Install an AppExchange prior authorization package.
• B. Install the Health Cloud Care Request Extensions package.
• C. Install the Health Cloud Claims unmanaged package.
• D. Build custom page layouts and record types to support the requirement.

A payer needs to enable its agents to answer questions from members regarding their benefits coverage. The payer has already set up the required objects to be populated with the necessary information through an integration. Which Health Cloud component should a consultant recommend for the Member record page?

• A. Benefits Coverage
• B. Benefits Verification
• C. Coverage Confirmation
• D. Eligibility Validation

An administrator for Bloomington Caregivers has added an Enhanced Timeline to an existing Patient Lightning page showing patient interactions, including records from a custom object developed to track caregiver preferences. What else should the administrator complete post deployment of the enhanced timeline?

• A. Add the custom object to the Timeline after deployment, then add it to the Timeline component.
• B. Activate the Timeline configuration and verify user permissions.
• C. Add the Timeline component to the Patient Lightning page and activate the Timeline.
• D. Assign the users permissions to be able to view the Timeline before adding it to the Timeline component.

A medical device organization needs to track account information and its geographical details to provide information to representatives onsite. Which three objects support this scenario?

• A. Healthcare Facility
• B. Location
• C. Clinic Location
• D. Account
• E. Facility Address