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