Salesforce Health Cloud Developer Guide

Health Cloud Developer Guide
Health Cloud Data Model
Advanced Therapy Management
Adverse Events
Assessment Generation
Benefits Verification
Care Program Management
Claims
ClaimHeader__x
ClaimDiagnosisProcedure__x
ClaimProvider__x
ClaimLine__x
ClaimDiagnosis__x
Clinical Data Model
Code Sets for Diagnosis and Procedure
Coverage Requirement Discovery
Crisis Support Center Management
Documentation Templates and Rules
Disease Surveillance
Electronic Signatures
Engagement Interaction
Financial Assistance Program
Health Assessments
Health Insurance
Home Health
Integrated Care Management
Intelligent Appointment Management
Intelligent Document Automation
Intelligent Sales
Medication Management
Patient Program Outcome Management
Participant Management
Patient Segmentation
Pharmacy Benefits Verification
Provider Network Management
Provider Relationship Management
Remote Monitoring and Device Registration
Social Determinants
Timeline
Unified Health Scoring
Utilization Management
Health Cloud Associated Objects
Health Cloud Fields on Standard Objects
Working With Electronic Health Records
Emergency Response Management
Apex Reference
Health Cloud Business APIs
Health Cloud Tooling API Objects
Health Cloud Standard Invocable Actions
Metadata Types
API End-of-Life Policy
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Claims

A claim is information submitted to an individual's health insurance company by an entity providing a service, medication or device.

Available in: Lightning Experience

Available in: Enterprise and Unlimited Editions with Health Cloud

Claims data model in the membership entity-relationship diagram