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Public Sector Solutions Documentation
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          Social Insurance Claim Flows Prerequisites

          Social Insurance Claim Flows Prerequisites

          Before you set up social insurance claim flows in Public Sector Solutions, complete the prerequisites.

          Required Editions

          Enable Standard Omnistudio Runtime

          Required Editions

          User Permissions Needed
          To enable Omnistudio settings: Customize Application

          To enable standard Omnistudio runtime, turn off the Omnistudio managed package runtime.

          1. From Setup, in the Quick Find box, enter Omnistudio Settings, and then select Omnistudio Settings.
          2. Disable Managed Package Runtime.

          Enable Program and Benefit Management

          Required Editions

          User Permissions Needed
          To enable program and benefit management settings: Customize Application
          1. From Setup, in the Quick Find box, enter Benefit, and then select Program and Benefit Management Settings.
          2. Turn on Create and manage your programs, benefits, and goals.
          3. Select Benefit Disbursement Settings, and then turn on Create and manage benefit disbursements.

          Enable Provider Management

          Required Editions

          User Permissions Needed
          To enable provider management settings: Customize Application
          1. From Setup, in the Quick Find box, enter Provider Management, and then select Provider Management Settings.
          2. Turn on Provider Management: Let users manage a network of providers, their facilities, and their specialties.
          3. Turn on View Healthcare Details: Let users see healthcare-specific details for providers.

          Enable Person Accounts

          Required Editions

          User Permissions Needed
          To enable person accounts: Customize Application AND View All Profiles
          Important
          Important You can’t turn off Person Accounts after they’re enabled. Before enabling Person Accounts, use a sandbox to preview how they affect your Salesforce org.
          1. From Setup, in the Quick Find box, enter Person Accounts, and then select Person Accounts.
          2. Acknowledge the implications of using person accounts.
          3. Verify that the Account object has at least one record type.
          4. Verify that user profiles that have Read permission on Accounts also have Read permission on Contacts.
          5. Set the org-wide default sharing for Contacts to Controlled by Parent or set the sharing settings for Accounts and Contacts to Private.
          6. Turn on Person Accounts.
            Salesforce creates the person account record type. If needed, create additional record types for Person Accounts.
          7. Assign the person account record type to user profiles.

          Turn on Discovery Framework

          Required Editions

          User Permissions Needed
          To enable Discovery Framework: Customize Application
          1. From Setup, in the Quick Find box, enter Discovery Framework, and then, under Assessments, select General Settings.
          2. Turn on Discovery Framework.

          Assign Permissions

          Assign these permission sets to anyone who sets up social insurance claim flows:
          • Benefit Disbursement Access
          • Dynamic Assessment Access
          • OmniStudio Admin
          • Program and Benefit Management Access
          • Provider Management Access
          • Public Sector Access

          Alternatively, assign the admins the Public_Sector_Solutions_Admin permission set group to assign them the required permission sets. The permission set group also provides access to additional common features that the admins can set up for users.

          See View and Assign Permission Sets in Public Sector Solutions and View and Assign Permission Set Groups in Public Sector Solutions.

          Set Field-Level Security

          Give users access to fields that aren't visible by default for the social insurance claim flows. See Modify Field Access Settings.

          On the Account object, make Gender Identity visible to the required profiles.

          Configure Application Types for Workers’ Compensation Claims

          For the Application Type field on the Individual Application object, create the picklist values Filed Claim and Acknowledged Claim. When an employee files a workers’ compensation claim through the guided flow, the flow creates an individual application whose type is Filed Claim. When the employer responds to the claim through the guided flow, the flow creates an individual application whose type is Acknowledged Claim.

          Required Editions

          User Permissions Needed
          To create picklist values: Customize Application
          1. From the object management settings for individual applications, go to Fields & Relationships.
          2. Select Application Type.
          3. For Application Type Picklist Values, click New.
          4. In the text box, on separate lines, enter Filed Claim and Acknowledged Claim.
          5. Save your changes.

          Create an Application Record Type and Configure Usage-Based Pricing

          Required Editions

          User Permissions Needed
          To create or change record types: Customize Application
          1. From Setup, in Object Manager, select Individual Application.
          2. Select Record Types, and then click New.
          3. For Existing Record Type, select Master.
          4. Enter a record type label, such as Social Insurance, that's unique within the object, and then press Tab to autofill the record type name.
          5. If necessary, enter a description, and then activate the record type.
            For information on how to make the record type available to users, see Create Record Types for License and Permit Applications.
          6. Save your changes.
          7. From Setup, in the Quick Find box, enter Usage Based Pricing, and then select Usage Based Pricing.
          8. Click New Application RecordType Config.
          9. For Label, enter a name for the record.
          10. For Application Usage Type, select Benefit Assistance.
          11. For Object Name, select Individual Application.
          12. For Record Type Name, enter the name that you entered earlier.
          13. Save your changes.
           
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