Best Preparations of Health-Cloud-Accredited-Professional Exam 2026 Salesforce Health Cloud Unlimited 110 Questions [Q39-Q53]

NEW QUESTION 39
A pharma customer requires a scheduling tool to book infusions with multiple steps as part of its Health Cloud implementation. It needs a solution for care coordinators to book appointments without having to manually check availability and resources themselves.
Which solution should a consultant recommend?

Intelligent Appointment Management

Procedure Scheduling

Salesforce Scheduler

Advanced Therapy Management

NEW QUESTION 40
A pharma company is implementing Health Cloud and trying to track insurance details related to its patients. The company wants to track:
* A list of all payer organizations
* The plans offered by a given payer
* The standard benefits available under a plan
* Which plan a given patient is enrolled in and their specific insurance details Which set of objects should a consultant implement to meet these requirements?

Account, Purchaser Plan, Member Benefit, Insurance Plan

Purchaser, Insurance Plan, Insurance Benefit, Plan Detail

Account, Purchaser Plan, Plan Benefit, Member Plan

Payer, Plan Offering, Coverage Benefit, Member Plan

NEW QUESTION 41
Which underlying object helps with sales compliance with sales agreements?

Opportunities

Contacts

Orders

Forecasts

NEW QUESTION 42
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?

Clinical Data Model org preference

Clinical R4 Model org preference

FHIR-Aligned EHR Data Model org preference

FHIR-Aligned Data Model org preference

NEW QUESTION 43
A consultant is implementing clinical assessment to track intake for a hospital leveraging the Discovery Framework.
Which three functions is the consultant able to leverage with Health Cloud?
Choose 3 answers

Encrypted Text

Question Bank

Branching

Scoring

Image Analysis

NEW QUESTION 44
Bloomington Caregivers has more than 1 million patients and each patient has an average of 10 claims a year, which are maintained in an external claims system. Management would like their agents to view all the claims of patients in Salesforce on demand when they open the patient’s record.
What should a consultant recommend as the appropriate integration pattern to achieve this?

Add a nightly job to fetch all the claims from the external system and store them In Salesforce.

Use an Enterprise Service Bus (ESB) to load all the claims data from the external system into Salesforce.

Make a callout on demand to the external system and store the claims data against the patient record.

Configure the claims system as an external data source and leverage external objects with the claims data.

NEW QUESTION 45
At Bloomington Caregivers, care coordinators can only view patient records they own in Health Cloud.
Moving forward, a small subset of auditors need access.
What should a consultant do to expand this access?

Create a restriction rule for the Person Account object.

Create a user access policy with grant permissions.

Create a criteria-based Account sharing rule.

Update organization-wide default for Account and Contract to Public Read-Only.

NEW QUESTION 46
Which of the following capabilities of the provider search would a customer service Agent use to help payers to find the right provider? (Choose Three.

Use Provider search in an authenticated community page

Use provider search in an unauthenticated community page

Control the list of the fields displayed in the search panel and search results

Use custom fields defined in healthcare provider and healthcare Practitioner Facility entities as part of the search provider.

Use custom fields defined in any entities within the Provider data model in Health cloud as part of the search component.

NEW QUESTION 47
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?
Choose 2 answers

Designing Next Best Action and Recommendations for the care management team

Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions

Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review

Considering the number of Intake agents who will be using Health Cloud

Utilization Management is a critical component in healthcare that focuses on ensuring the appropriateness, necessity, and efficiency of healthcare services. For payers working with plan members and medical providers, the case-by-case review of care appropriateness requires thorough processes to streamline authorization and review tasks.
Designing Care Requests to Seek Authorization (Answer B):
Purpose: The Care Request object in Health Cloud is essential for seeking authorizations from a health plan for specific healthcare services, drugs, or admissions. This object ensures that requests are appropriately documented and tracked.
Functionality:
It allows users to create and manage care requests linked to plan members.
Integrates with payer systems to capture critical details for authorization, such as service codes, plan information, and medical necessity documentation.
Supports automation through workflows and approvals, speeding up the decision-making process.
Relevance: By designing efficient Care Requests, the consultant ensures that all required details for preauthorizations or service reviews are captured seamlessly, meeting regulatory and operational needs.
Considering Request Review Types (Answer C):
Purpose: UM processes in Health Cloud must address the three primary types of reviews:
Prior Authorization Review: Conducted before the service is provided to determine medical necessity.
Concurrent Review: Evaluates the necessity of ongoing care during hospitalization or service delivery.
Retrospective Review: Analyzes the appropriateness of care after it has been delivered.
Implementation in Health Cloud:
The consultant must design workflows and data models to capture the details of these review types, including timestamps, reviewer notes, and outcomes.
Health Cloud supports tracking and documenting these reviews within the UM module, ensuring compliance with healthcare regulations.
Relevance: These review types allow the payer to influence decisions by ensuring appropriate care is provided while managing costs and maintaining high-quality outcomes.
Why the Other Options Are Less Relevant:
A . Designing Next Best Action and Recommendations for the Care Management Team: While recommendations and next-best-action features are beneficial for care management, they are not directly tied to the case-by-case review process of Utilization Management, which focuses more on care appropriateness and authorizations.
D . Considering the Number of Intake Agents Using Health Cloud: While operational considerations like staffing are important, this is not a Utilization Management process. It’s a broader organizational concern unrelated to the core functionality of UM in Health Cloud.
Reference:
Utilization Management Overview: Salesforce documentation outlines how to handle prior authorizations, service approvals, and related processes within Health Cloud. (help.salesforce.com) Care Requests and Authorizations: Details on managing care requests and integrating with payer systems for streamlined authorization workflows. (developer.salesforce.com) UM Process Design in Health Cloud: Guidance on implementing request review types and managing data models to support UM. (architect.salesforce.com) By addressing Care Requests and Request Review Types, the consultant ensures a robust Utilization Management setup, enabling effective collaboration between payers, providers, and members while optimizing care delivery and compliance.

NEW QUESTION 48
A company recently migrated from Service Cloud to Health Cloud and is working on strengthening their relationships within their provider network. Which object within the Provider Relationship Management data model can be used to track each of the different locations where a provider practiced?

HealthcareFacilityNetwork

HealthcareProvider

HealthcarePractitionerFacility

HealthcareProviderSpeciality

BusinessLicense

NEW QUESTION 49
How does an administrator display deviceinformation on a patient card?

Create an Asset record and create a care registered device record that look up to the patient.

Create a custom field on the EHR_Patient object with a formula that return the information.

Create a custom field on theEHR_DeviceRequest object with a formula that return the information.

Create a custom field on the EHR_MedicalDevice object with a formula that return the information.

Create a custom field on the FilterCondition__c object with a formula that return the information.

NEW QUESTION 50
A Salesforce technical architect is migrating a service cloud org to health cloud and needs to update existing integrations to create records in health cloud objects instead of creating records in custom objects. Which unique health cloud considerations apply regarding the use of APIs in this case?

Health Cloud uses Business API’s that should be used instead of object level API’s

Only object level APIs should be used as Business APIs are not used for record creation.

Health cloud and custom objects both leverage the same object -level API approach. No unique health cloud considerations apply.

Any combination of object-level APIs and business APIs may be used.

NEW QUESTION 51
What is the best practice when transitioning an org from Service Cloud to HC?

Approach depends on how each customer uses their org. Any other options may be used.

Put HC use cases in a new org, leave only Service Cloud use cases in an existing org.

Migrate the entire org in place.

Build out HC capabilities in a new org, then migrate all users and data.

NEW QUESTION 52
A hospital system wants to track patient relationships to its cardiologist, primary care physician, and oncologist. Which object should a consultant recommend to implement?

Patient Provider Relationship

Affiliation Relationship

Healthcare Practitioner Facility

Contact-Contact Relationship

In Salesforce Health Cloud, to track a patient’s relationships with multiple healthcare providers such as a cardiologist, primary care physician, and oncologist, the Patient Provider Relationship object is the appropriate choice.
Understanding the Patient Provider Relationship Object:
Purpose:
The Patient Provider Relationship object is designed to represent and manage the associations between patients (contacts) and their healthcare providers (practitioners).
It facilitates the documentation of various roles that providers play in a patient’s care, enabling a comprehensive view of the patient’s healthcare network.
Functionality:
This object allows healthcare organizations to record and monitor the specific relationships between patients and providers, including details such as the type of care provided, duration of the relationship, and any relevant notes.
By utilizing this object, organizations can ensure accurate and up-to-date records of all healthcare professionals involved in a patient’s care, supporting coordinated and efficient care delivery.
Implementing Patient Provider Relationships:
Configuration Steps:
Define Relationship Types:
Customize the relationship types to reflect various provider roles, such as cardiologist, primary care physician, and oncologist.
Establish Relationships:
For each patient, create records in the Patient Provider Relationship object to link them with their respective providers, specifying the role and any pertinent details.
Maintain and Update Records:
Regularly update these relationships to reflect any changes in the patient’s care team, ensuring that the information remains current and accurate.
By leveraging the Patient Provider Relationship object, healthcare organizations can effectively manage and visualize the network of providers associated with each patient, enhancing care coordination and patient outcomes.
Reference:
Provider Relationship Management | Salesforce Health Cloud Developer Guide Track Complex Household Roles and Relationships in Health Cloud

NEW QUESTION 53
Bloomington Caregivers has replaced its legacy Contact Center application with Health Cloud. During user acceptance testing (UAT), the call center team is reporting differences between current Identity Verification business processes and what was built in Health Cloud.
The call center manager has requested the following changes:
* Birth Date be available in results and as an optional verifier, but no longer required for verification purposes
* Add ‘Bloomington ID’, a custom field on Account, to search results and as a required verifier What should a consultant do to meet these requirements?

Add ‘Bloomington ID’ to the picklist choices within the Identity Verification flow and mark it as required. Remove the Birth Date record from the required fields picklist and add Birth Date to the optional verifiers picklist.

Add two new Identity Verification Process Field records for ‘Bloomington ID’. Set the Field Type to Result Field and set the Required field to true. Add the new record to the Lightning component parameters in the identity flow screen in Flow Builder.

Add two new Identity Verification Process Field records for ‘Bloomington ID’; one with Field Type set to Result Field and one with Field Type set to Required Verifier. Change the Birth Date record with Field Type value Required Verifier to Optional Verifier.

Add two new Identity Verification Process Field records for ‘Bloomington ID’; one with the Field Type set to Result Field and one with Field Type set to Optional Verifier. Delete the Birth Date record which has the Field Type value Required Verifier.

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Best Preparations of Health-Cloud-Accredited-Professional Exam 2026 Salesforce Health Cloud Unlimited 110 Questions [Q39-Q53]

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