Use the Agentforce Employee Agent template to create an agent to unlock the power of
Agentforce for your payer contact center reps. Add payer contact center specific subagents to the
agent to help payer contact center reps manage patient interactions with real-time access to
claims details, member coverages, prior authorization statuses, and provider network
searches.
Required Editions
Available in: Lightning Experience
Available in: Enterprise and Unlimited Editions with Health Cloud
and Agentforce for Health Cloud add-on licenses. Requires each user to have the
Agentforce for Health Cloud add-on to access the agent action.
User Permissions
Needed
To create an agent
Manage AI Agents
OR
Customize Application
To add Agent topic to Agent:
Manage AI Agents AND Manage Agentforce Default Agent
OR
Customize
Application
Create an agent based on the Agentforce Employee Agent
template.
In Agentforce Builder, add these topics from the asset library to the
agent.
Agentforce Subagent: Prior Authorization Assistance Handles all inquiries about a member's healthcare prior authorizations including prior authorization status, care request details, prior authorization summaries, approval or denial outcomes, and prior authorization history.
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