Check Requirements for Benefit Verification

Verify that you have the back end data in place and that your users have the access they need.

Available in: Lightning Experience

Available in: Enterprise and Unlimited Editions with Health Cloud


  1. Assign the Health Cloud Foundation permission set to any users who will be using benefits information.
  2. Create a named credential to support authenticated callouts, if you don't already have one.
    A named credential specifies the URL of a callout endpoint and its required authentication parameters in one definition. To simplify the setup of authenticated callouts, specify a named credential as the callout endpoint.
  3. Populate the Code Set object with the Service Type Codes you need.
    You can have up to 180 codes. See the X12 Service Type Codes reference for a full list.
    1. In the Code Set object, add a value to the Code Set Type picklist field for service type codes.
      Call it something descriptive, like Service Type Codes for Benefit Verification.
    2. Create service type codes by selecting the picklist value in the Code Set Type field.
  4. Verify that the Purchaser Plan object is populated with information about the coverage plans that are available to your users.
    The Verifiable field must be set to True.
  5. Verify that each patient is represented in an Account record.
  6. Each patient is connected with a coverage set using a Member Plan record.
    At a minimum, the Name, Member, Member Number, Group Number, and Payer fields must be populated.