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          Generate Call Script

          Generate Call Script

          Reduce the time patient services reps spend on call with payors to determine the missing fields from the benefits summary. Pharmacy Benefits Verification uses Einstein Generative AI to help patient services reps generate a call script, which they can use to fetch missing coverage information from payors.

          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
          User Permissions Needed
          To generate call script

          Context Service Admin permission set

          AND

          Context Service Runtime permission set

          AND

          Prompt Template Manager permission set

          AND

          Prompt Template User permission set

          AND

          Manage Pharmacy Benefits Verification permission set

          Before you generate the call script for payors, make sure the verification request is initiated.

          With Pharmacy Benefits Verification, patient services reps can generate a call script by using an auto-launched flow. This call script includes a subset of the missing information in the benefits summary that's required to complete the patient’s pharmacy benefits verification request.

          The call script is divided into four sections. The first section highlights the patient’s information. The second section outlines the insurance coverage information, and the third section highlights the information related to the drug that’s prescribed to the patient. The fourth section includes the list of all the fields that the coverage information is missing for. You can copy this script with a single click.

          Important
          Important To customize the Generate Call Script flow according to your business needs, implement the TransposeContext interface.
          1. From the App Launcher, find and select Care Program Enrollee.
          2. Select a care program enrollee.
          3. On the Pharmacy Benefits Verification tab, in the Benefits Summary section, click Generate Call Script.
            Note
            Note The tab name can vary based on the admin setup of your Salesforce org.
            The Generate Call Script flow is launched.
          4. To accept the disclaimer for Einstein AI usage, click Got It.
            Einstein Disclaimer
            The call script is generated.

            Here’s a sample call script.

            Call Script

          To copy the call script to the clipboard, click Copy.

          Warning
          Warning This tool uses generative AI, which can produce inaccurate or harmful responses. Before using, review the output for accuracy and safety. You assume responsibility for how the outcomes of Einstein are applied to your organization.
           
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