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            Agentforce Subagent: Prior Authorization Assistance

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            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.

            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 Prior Authorization Assistance
            Included Agent Actions

            Find Member

            Fetch Prior Authorization

            Get Prior Authorization Summary
            Required Setup Set Up Agentforce for Payer Contact Center

            Examples of Utterances That Trigger This Subagent

            • "Find prior authorizations for Mary Smith, DOB 11/19/1957."
              • “Show me a summary of the returned record for PA-101.”
            • “What’s the status of the prior authorizations submitted in January for member ID 54321?”
             
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