Agentforce Health Developer Guide

Agentforce Health Developer Guide
Health Cloud Data Model
Advanced Therapy Management
Adverse Events
Assessment Generation
Benefits Verification
Care Program Management
Clinical Data Model
Predecessors to Code Sets and Code Set Bundles in Health Cloud
Coverage Requirement Discovery
Crisis Support Center Management
Documentation Templates and Rules
Disease Surveillance
Electronic Signatures
Engagement Interaction
FHIR Subscription
Financial Assistance Program
Health Assessments
Health Insurance
CarePreauth
CarePreauthItem
CoverageBenefit
CoverageBenefitItem
Member
MemberPlan
Payer
PlanBenefit
PlanBenefitItem
Purchaser
Purchaser Group
Purchaser Group Member Association
PurchaserPlan
PurchaserPlanAssn
Purchaser Payer Association
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
ProductRequest
Health Cloud Associated Objects
Health Cloud Fields on Standard Objects
Health Cloud Platform Events
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
Health Cloud FHIR APIs
MuleSoft Direct Integrations
API End-of-Life Policy
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Note: This release is in preview. Features described here don’t become generally available until the latest general availability date that Salesforce announces for this release. Before then, and where features are noted as beta, pilot, or developer preview, we can’t guarantee general availability within any particular time frame or at all. Make your purchase decisions only on the basis of generally available products and features.

Health Insurance

The health insurance data model provides objects for managing the ways care is paid for. It represents information about participants such as employment, insurance coverage, and dependents. You can manage details of the benefits provided by plans to members and treatment preauthorization requests made by members or providers.

Ensure that the Health Cloud managed package is installed in your org as the package contains fields on standard objects used by the health insurance data model.

The health insurance data model includes standard objects and record types. You need the Health Cloud Platform permission set license to create, edit, and delete records in the data model.

Health insurance data model entity-relationship diagram