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            Electronic Verification Request

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            3. Agentforce Life Sciences

            Electronic Verification Request

            Reduce the time it takes your representatives to connect with payors by using an electronic benefits verification request. This request automates the verification process through electronic exchange of coverage information with payors through clearing houses.

            Required Editions

            Available in: Lightning Experience
            Available in: Enterprise and Unlimited Editions with Life Sciences Cloud or Health Cloud

            Use pharmacy benefits verification to integrate your Salesforce org with clearing houses or payors by using integration with MuleSoft. The integration happens through Patient Services Benefits Application, a MuleSoft outbound application. When your representative initiates an electronic verification request, an FHIR (Fast Healthcare Interoperability Resources) compliant RTPBC (Real-Time Pharmacy Benefit Check) Request is sent to a third-party clearing house through MuleSoft. Similarly, the clearing house sends the FHIR compliant RTPBC Claim Response to Salesforce org through MuleSoft.

            • Built-In MuleSoft Integration for Electronic Verification
              Integrate Health and Life Sciences Cloud with third-party clearing houses by using FHIR-CARIN and NCPDP aligned verification requests, industry-specific APIs, and integration application deployed on MuleSoft. Use this integration to accelerate the end-to-end benefits verification process.
            • Set Up Electronic Verification Request
              Set up electronic verification request for your reps to verify patient's benefits electronically by using External Client app, MuleSoft integration, and Integration Defintions.
            • Electronic Verification Scenarios
              Explore the different scenarios that occur when your representative raises an electronic verification request. Also, understand the different scenarios of failure and their resolution.
             
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