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            Subagent: Eligibility and Benefit Verification for Providers

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            Subagent: Eligibility and Benefit Verification for Providers

            Verifies a patient's eligibility and benefits for healthcare providers.

            Required Editions

            Available in: Lightning Experience
            Available in: Enterprise, Performance, and Unlimited Editions with the Agentforce for Health Cloud Add-on license

            Subagent Details

            API Name PatientDataManagement
            Included Agent Actions

            Get Patient Member Plans

            Get Input for Eligibility and Benefit Verification

            Generate FHIR Payload for Eligibility and Benefit Verification*

            Send Eligibility and Benefit Verification Request
            Required Setup Set Up Agentforce for Provider Contact Center

            *This action executes one or more prompt templates.

            Examples of Utterances That Trigger This Subagent

            • "Get the benefits for Theodore Mychart, born on 1948-07-07."
             
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