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            Health | Fetch Prior Authorization

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            Health | Fetch Prior Authorization

            Retrieves prior authorization (care request) records for a member based on prior authorization ID, claim ID, or member and service details.

            Required Editions

            Available in: Lightning Experience
            Available in: Enterprise, Performance, Unlimited, and Developer Editions with the Agentforce for Health add-on or included in Agentforce 1 Health Edition. Requires each user to have the Agentforce for Health add-on to access the action.
            User Permissions Needed  
            To use this action:

            Use Contact Center AI Assistive Agent

            AND

            Contact Center Agent for Health Cloud permission set

            AND

            Prompt Template User

            AND

            Data Cloud User
            See Common User Access for Standard Agent Actions.
            Note
            Note The user interface of this product is available only in English and may not be fully supported in other languages.

            Action Details

            API Name FetchPriorAuthorization
            Reference Action Type Standard Action
            Does this action run one or more prompt templates? No
            Required Setup Set Up Agentforce for Payer Contact Center
             
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