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Agentforce and Einstein Generative AI
Health | Find Claim Clinical

Health | Find Claim Clinical

Retrieves clinical information for a specific claim from an external zero copy system based on the claim ID. Returns diagnosis records, supporting information, patient health conditions, and medical procedures.

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 FindClaimClinical
Reference Action Type Flow
Does this action run one or more prompt templates? No
Required Setup Set Up Agentforce for Payer Contact Center
 
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