Pharmacy Benefits Verification uses Einstein’s generative AI to generate a benefits
summary and a call script summary. These summaries are generated through an auto-launched flow,
which uses context service to fetch the data. Before context service fetches the data, you must
turn on context definition.
Required Editions
Available in: Lightning Experience
Available in: Enterprise and Unlimited Editions with Health Cloud
or Life Sciences Cloud, and Einstein GPT Platform and Einstein GPT Prompt Builder
Add-On licenses
Pharmacy Benefits Verification comes with two predefined context definitions, PharmacyBenefitsSummary and CallScriptForPharmacyBenefits that enable the efficient retrieval and consumption of
data in generating pharmacy benefits and call script summary.
Important You can’t edit or remove PharmacyBenefitsSummary and
CallScriptForPharmacyBenefits context definitions. To make any changes, create a copy of these
context definitions by clicking Save as.
PharmacyBenefitsSummary
The PharmacyBenefitsSummary context definition hydrates data for benefits summary
generation. The nodes and attributes in this structure are mapped to the Care Benefit Verify
Request, Coverage Benefit, Coverage Benefit Item, and Coverage Benefit Item Limit objects.
CallScriptForPharmacyBenefits
The CallScriptForPharmacyBenefits context definition hydrates data for call script summary
generation. The nodes and attributes in this structure are mapped to the Care Benefit Verify
Request, Coverage Benefit, Coverage Benefit Item, and Coverage Benefit Item Limit objects.
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