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            Subagent: Member Coverage Assistance

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            Subagent: Member Coverage Assistance

            Resolve member queries about coverage, benefits, and plan details.

            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 MemberCoverageAssistance
            Included Agent Actions

            Fetch Individual Record ID

            Find Specific Member Coverage

            Get Member Coverage Summary
            Required Setup Set Up Agentforce for Payer Contact Center

            Examples of Utterances That Trigger This Subagent

            • "Is coverage for member ID: 54321 currently active?"
            • "Find the amount of the deductible member ID: 54321 has paid so far this year."
            • "How many physical therapy appointments are covered by the plan for member ID: 54321?"
             
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            Salesforce Help | Article