The benefits verification data model supports providers, payers, and life sciences organizations in determining benefits coverage for services and products provided.
| Required Editions |
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| Available in: Lightning Experience Available in: Enterprise and Unlimited Editions with Health Cloud |
The benefits verification objects are available to users with the Health Cloud and the Health Cloud Platform permission set licenses and the Health Foundation permission set. Available in API version 53.0 and later.
Request for verification of benefits. This object is available in API version 53.0 and later.
Represents the benefits provided to a covered member by a purchaser’s plan.
Specific service covered by the insurance plan. This object is available in API version 53.0 and later.
Allows you to track details associated with a specific benefit as it relates to expenditures, limits, coverage levels, eligibility, and exclusion. This object is available in API version 53.0 and later.
Represents details about the insurance coverage for a member or subscriber.
Represents the payer plan that a purchaser makes available to its members and members’ dependents.
See Also
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