[UPDATED 2026] Salesforce Health-Cloud-Accredited-Professional Questions Prepare with Free Demo of PDF
NEW 2026 Certification Sample Questions Health-Cloud-Accredited-Professional Dumps & Practice Exam
Salesforce Health-Cloud-Accredited-Professional (Health Cloud) exam is a certification program designed for individuals who wish to demonstrate their expertise in the Salesforce Health Cloud platform. Salesforce Health Cloud Accredited Professional certification is ideal for healthcare providers, medical professionals, and IT experts who want to expand their knowledge and skills in managing healthcare data and patient information. The Health Cloud Accredited Professional certification is recognized globally as a reliable benchmark for healthcare professionals.
Salesforce Health Cloud Accredited Professional exam is an industry-recognized certification that validates the skills and knowledge of professionals working with the Salesforce Health Cloud platform. Health-Cloud-Accredited-Professional exam is designed for individuals who have experience working in healthcare and are proficient in Salesforce Health Cloud. Salesforce Health Cloud Accredited Professional certification validates their expertise in delivering healthcare solutions using Salesforce Health Cloud effectively.
NEW QUESTION # 44
A payer needs to work with plan members and medical providers to influence decisions through a case-by- case review of the appropriateness of care.
When gathering requirements for this use case, which two Utilization Management processes should a consultant discuss with the client?
Choose 2 answers
- A. Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions
- B. Designing Next Best Action and Recommendations for the care management team
- C. Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review
- D. Considering the number of Intake agents who will be using Health Cloud
Answer: A,C
Explanation:
Utilization Management is a critical component in healthcare that focuses on ensuring the appropriateness, necessity, and efficiency of healthcare services. For payers working with plan members and medical providers, the case-by-case review of care appropriateness requires thorough processes to streamline authorization and review tasks.
* Designing Care Requests to Seek Authorization (Answer B):
* Purpose: The Care Request object in Health Cloud is essential for seeking authorizations from a health plan for specific healthcare services, drugs, or admissions. This object ensures that requests are appropriately documented and tracked.
* Functionality:
* It allows users to create and manage care requests linked to plan members.
* Integrates with payer systems to capture critical details for authorization, such as service codes, plan information, and medical necessity documentation.
* Supports automation through workflows and approvals, speeding up the decision-making process.
* Relevance: By designing efficient Care Requests, the consultant ensures that all required details for preauthorizations or service reviews are captured seamlessly, meeting regulatory and operational needs.
* Considering Request Review Types (Answer C):
* Purpose: UM processes in Health Cloud must address the three primary types of reviews:
* Prior Authorization Review: Conducted before the service is provided to determine medical necessity.
* Concurrent Review: Evaluates the necessity of ongoing care during hospitalization or service delivery.
* Retrospective Review: Analyzes the appropriateness of care after it has been delivered.
* Implementation in Health Cloud:
* The consultant must design workflows and data models to capture the details of these review types, including timestamps, reviewer notes, and outcomes.
* Health Cloud supports tracking and documenting these reviews within the UM module, ensuring compliance with healthcare regulations.
* Relevance: These review types allow the payer to influence decisions by ensuring appropriate care is provided while managing costs and maintaining high-quality outcomes.
Why the Other Options Are Less Relevant:
* A. Designing Next Best Action and Recommendations for the Care Management Team: While recommendations and next-best-action features are beneficial for care management, they are not directly tied to the case-by-case review process of Utilization Management, which focuses more on care appropriateness and authorizations.
* D. Considering the Number of Intake Agents Using Health Cloud: While operational considerations like staffing are important, this is not a Utilization Management process. It's a broader organizational concern unrelated to the core functionality of UM in Health Cloud.
References:
Utilization Management Overview: Salesforce documentation outlines how to handle prior authorizations, service approvals, and related processes within Health Cloud. (help.salesforce.com) Care Requests and Authorizations: Details on managing care requests and integrating with payer systems for streamlined authorization workflows. (developer.salesforce.com) UM Process Design in Health Cloud: Guidance on implementing request review types and managing data models to support UM. (architect.salesforce.com) By addressing Care Requests and Request Review Types, the consultant ensures a robust Utilization Management setup, enabling effective collaboration between payers, providers, and members while optimizing care delivery and compliance.
NEW QUESTION # 45
While working with a received document using Intelligent Document Automation, which three capabilities should a consultant leverage with Health Cloud out-of-the-box?
Choose 3 answers
- A. Record Type Association
- B. Document Rotation
- C. eFax Connection
- D. Barcode Scanning
- E. Automated Document Checklist Item Creation
Answer: A,D,E
Explanation:
Salesforce Health Cloud's Intelligent Document Automation streamlines document management and integrates directly into workflows. Below are the key out-of-the-box capabilities leveraged with Intelligent Document Automation:
Record Type Association (A):
Automatically associates received documents with the appropriate record type, such as insurance claims, prescriptions, or referrals.
This ensures accurate categorization and alignment with organizational data models.
Automated Document Checklist Item Creation (C):
Automatically generates checklist items based on received documents, ensuring that follow-up tasks or reviews are created and assigned to appropriate users.
Barcode Scanning (E):
Supports barcode scanning to quickly identify and associate documents with the correct patient or case, improving operational efficiency and reducing errors.
Why Other Options Are Incorrect:
B (Document Rotation): Document rotation is not a built-in feature of Intelligent Document Automation in Health Cloud.
D (eFax Connection): eFax integration requires additional setup or third-party tools and is not an out-of-the-box Health Cloud feature.
Reference:
Intelligent Document Automation Overview
Salesforce Document Management Features
NEW QUESTION # 46
A health plan provider would like to manage prior authorizations with predefined approval criteri a.
Which three features in Health Cloud should a consultant recommend in this case?
Choose 3 answers
- A. claims data model
- B. Business Rules Engine
- C. Out-of-the-box Process libraries
- D. Utilization Management data model
- E. Intelligent Appointment Management
Answer: B,C,D
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference Business Rules Engine (BRE):
Enables you to define, automate, and manage approval criteria for prior authorizations.
Extract:
"Use Business Rules Engine to automate decisions and apply approval criteria for utilization management and prior authorizations."
- OmniStudio: Business Rules Engine
Utilization Management Data Model:
Provides standard Health Cloud objects to manage prior authorizations, including requests, approvals, and denials.
Extract:
"Health Cloud Utilization Management provides a complete data model for tracking prior authorization requests and decisions."
- Health Cloud: Utilization Management Data Model
Out-of-the-box Process Libraries:
Prebuilt processes for common healthcare workflows, including prior authorizations.
Extract:
"Out-of-the-box process libraries provide reusable flows for utilization management, including authorizations, appeals, and notifications."
- Administer Health Cloud: Process Libraries
Incorrect Options:
A . Claims data model: Related to claims, not prior authorizations.
B . Intelligent Appointment Management: Focused on scheduling, not utilization management or prior authorization.
Reference:
OmniStudio: Business Rules Engine
Health Cloud: Utilization Management Data Model
Administer Health Cloud: Process Libraries
NEW QUESTION # 47
Bloomington Caregivers want to offer its patients remote monitoring to bring data from patient devices into Health Cloud.
Which set of records should an administrator populate to implement this functionality?
- A. Units of Measure, Remote Monitoring Device Types, Care Observations, Code Sets
- B. code Sets, Units of Measure, Care Metric Targets, Care Observations
- C. Code Sets, Biometrics, Care Observations, Chart Metrics
- D. Units of Measure, Code Sets, Remote Monitoring Device Types, Care Episodes
Answer: A
Explanation:
To enable Bloomington Caregivers to offer remote monitoring and integrate patient device data into Salesforce Health Cloud, an administrator should configure the following records:
* Units of Measure:
* Purpose: Define the measurement units for various health metrics (e.g., kilograms for weight, mmHg for blood pressure).
* Configuration: Create records in the UnitOfMeasure object to standardize how data from patient devices is interpreted and displayed.
* Remote Monitoring Device Types:
* Purpose: Catalog the types of devices patients use for remote monitoring (e.g., glucometers, heart rate monitors).
* Configuration: Define device types to manage and organize incoming data effectively.
* Care Observations:
* Purpose: Record and store the health metrics and observations collected from patient devices.
* Configuration: Utilize the CareObservation object to capture data such as blood glucose readings or heart rate measurements.
* Code Sets:
* Purpose: Standardize the types of health metrics being monitored (e.g., defining what constitutes a blood glucose measurement).
* Configuration: Create code sets to ensure consistency in data categorization and reporting.
Implementation Steps:
* Set Up Remote Monitoring in Health Cloud:
* Navigate to Health Cloud settings to configure remote monitoring features.
* Create code sets for each health metric to be monitored.
* Define units of measure corresponding to these code sets.
* Establish care observations to capture and store incoming data.
* Configure remote monitoring device types to manage various patient devices.
By setting up these records, Bloomington Caregivers can effectively implement remote monitoring, allowing seamless integration of patient device data into Health Cloud. This setup facilitates real-time health data tracking, enhancing patient care and engagement.
References:
Set Up Remote Monitoring in Health Cloud
Remote Monitoring and Device Registration Data Model
NEW QUESTION # 48
When implementing Provider Search functionality, which two changes allow an external user to access search results?
Choose 2 answers
- A. Give the site user profile Read access to the Data Pipeline object.
- B. Use Experience Builder to add the Provider Search component to a page on the site.
- C. Create a sharing rule on the Care Provider Searchable Field object to share with external users.
- D. Give the site user profile Read access to the Care Provider Searchable Field object.
Answer: B,D
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference Experience Builder and Component Access:
Add the Provider Search component to the Experience Cloud site page for external user access.
Extract:
"Use Experience Builder to add Provider Search components to your site to enable external users to search for providers."
- Provider Search in Experience Cloud
Read Access:
Granting Read access to the Care Provider Searchable Field object is required for site users to access search results.
Extract:
"Grant the site user profile Read access to the Care Provider Searchable Field object to allow them to view provider search results."
- Provider Search Security
Other Options:
B: Sharing rules not typically required; object-level access is key.
D: Data Pipeline object access is not relevant for provider search results.
Reference:
Provider Search in Experience Cloud
NEW QUESTION # 49
How can Code Sets be managed in Health Cloud?
- A. Health Cloud provides a Code Sets data model that is pre-integrated to authoritative sources to ensure the latest code sets are always available.
- B. Health Cloud provides a Code Sets data model that must be populated from an external source.
- C. Health Cloud does not provide a Code Sets data model
- D. Health Cloud provides a Code Sets data model that is pre-populated with industry standard procedures and diagnostic code sets.
Answer: B
Explanation:
Reference and details below.
NEW QUESTION # 50
Which two interoperability standards are support by salesforce to facilitate the exchange of health data? (Choose two)?
- A. EDI ANSI X1- Recall Concept/Remainder 2
- B. DICOM (Digital Imaging and communications In Medicine
- C. FHIR V4( Fast Healthcare interoperability Resources)
- D. HL7 V2- Simple Application3 - Apply to real word/Analyze / Evaluate(Health Level Seven)
- E. The Direct Standard
Answer: C,D
NEW QUESTION # 51
A consultant is implementing Identity Verification for their customer's customer service representatives and needs to add a new search parameter.
Which record should the consultant configure to accomplish this?
- A. Linked Identity Search Detail
- B. Verification Search Feature
- C. Identity Verification Process Detail
- D. Identity Verification Parameter Item
Answer: D
Explanation:
In Salesforce Health Cloud's Identity Verification framework, you can configure which search parameters (such as date of birth, SSN, phone number, etc.) are used by customer service representatives to verify a member or patient's identity.
To add a new search parameter, you configure an Identity Verification Parameter Item record.
* Identity Verification Parameter Item # Defines the actual search fields that will be used in the verification process.
* These parameter items are tied to the Identity Verification Process Detail to determine how the verification is performed.
Why not the others?
* A. Verification Search Feature - This controls whether identity verification search is enabled, but not the specific search parameters.
* B. Identity Verification Process Detail - This defines the steps and rules of the verification process, but doesn't store the search fields themselves.
* D. Linked Identity Search Detail - Used to configure linked identities across systems, not to add new search parameters.
Salesforce Health Cloud Reference:
# Salesforce Help - Identity Verification in Health Cloud
"To configure the search fields that agents use for member or patient identity verification, create and manage Identity Verification Parameter Item records."
* Salesforce Health Cloud Identity Verification Documentation
NEW QUESTION # 52
Which three of the following features are included with a Health Cloud License?
- A. EHR Mulesoft Templates
- B. Care Cordination(Patient Services)
- C. Surveys
- D. Intelligent Document Automation
- E. Intelligent Form Reader with Amazon Textract
Answer: B,C,D
Explanation:
According to the Health Cloud Data Model Developer Guide, Surveys, Intelligent Document Automation, and Care Coordination (Patient Services) are three features that are included with a Health Cloud License. Surveys allow you to create and send surveys to patients and providers to collect feedback and data. Intelligent Document Automation allows you to digitize your document management processes and extract data from documents using artificial intelligence. Care Coordination (Patient Services) allows you to manage patient care across multiple care plans and teams. EHR Mulesoft Templates and Intelligent Form Reader with Amazon Textract are not features that are included with a Health Cloud License.
NEW QUESTION # 53
Bloomington Caregivers would like to share patient medication information with an external pharmacy as soon as it's updated in Bloomington Caregivers' Health Cloud system. It would also like to receive an immediate confirmation about any medication interactions from the pharmacy. Which two integration patterns should a consultant recommend?
- A. Apex HTTP Callout
- B. OmniStudio Integration Procedure
- C. Platform Event
- D. Industries ETL
Answer: A,C
Explanation:
The two integration patterns that a consultant should recommend to share patient medication information with an external pharmacy are Platform Event and Apex HTTP Callout. Platform Event allows Bloomington Caregivers to publish events when medication records are updated in Health Cloud, and the external pharmacy can subscribe to those events and receive notifications in near real time. Apex HTTP Callout allows the external pharmacy to send an HTTP request to Health Cloud with the medication interaction information, and Health Cloud can process the response and display it to the users.
NEW QUESTION # 54
A Health Cloud administrator would like to setup a new default sub-tab when opening record, where in the setup menu would the administrator go to accomplish this?
- A. Custom Settings
- B. Custom Permissions
- C. Custom Object
- D. Custom Labels
- E. Custom Metadata Types
Answer: A
Explanation:
According to the Health Cloud Implementation Guide, a Health Cloud administrator can change the default sub-tab when opening a record by going to setup, navigating to Custom Settings, and editing the Default Subtab setting. This setting allows you to specify which sub-tab should be displayed by default when opening a record in Health Cloud - Console. The other options are not relevant for changing the default sub-tab.
NEW QUESTION # 55
A provider wants its care coordinators to track a series of problems, goals, and interventions (PGIs) related to a patient's care in a repeatable, efficient way.
Which approach should a consultant recommend?
- A. Configure an action plan template with tasks for each PGI.
- B. Define a PGI Library and care plan templates using the library.
- C. Coach the care coordinators to quickly create tasks using a checklist.
- D. Create care program templates and assign them to patients.
Answer: B
Explanation:
The best approach is to define a PGI Library and care plan templates using the library. This will enable the care coordinators to track PGIs in a standardized way, and also leverage best practices and evidence-based guidelines.
NEW QUESTION # 56
In which two ways can an administrator support the Health department so that the team can efficiently assess the individual, enroll them in a program, and monitor them during emergency? (Choose two)
- A. Leverage pre-configured flows provided with Health Cloud
- B. Create Patient Enrollment Console
- C. Create a healthcare provider enrollment flow
- D. Install emergency Response Management unmanaged package
Answer: A,D
Explanation:
Explanation
Reference and details below.
NEW QUESTION # 57
Which Feature would an administrator setup to help their sales team view all provider related to a specific facility?
- A. Provider Cards
- B. Practitioner Relationship
- C. Provider Relationship
- D. Provider Search
Answer: B
Explanation:
According to the Salesforce documentation3, Practitioner Relationship is an object in Health Cloud that is used to track the relationship between a provider and another provider or a facility. Practitioner Relationship includes information such as the relationship type, start date, end date, and status. Practitioner Relationship can be used to help sales teams view all providers related to a specific facility3.
NEW QUESTION # 58
Which twopreference must a salesforce administrator enable to begin using Intelligent Sales for Medical Devices? (Choose two)
- A. Visit Inventory Management
- B. Action Plans
- C. Lightning Flows
- D. Intelligent Sales
- E. Lightning App builder
Answer: A,D
Explanation:
Explanation
Reference and details below.
NEW QUESTION # 59
While setting up Advanced Therapy Management, a consultant wants to have patients associated to Care Programs during enrollment. They need to customize the Health Cloud enrollment process to match their customer's process.
What should the consultant clone to customize for the customer, while leveraging out-of-the-box Health Cloud functionality?
- A. FlexCard
- B. Apex Class
- C. OmniScript
- D. Flow
Answer: D
NEW QUESTION # 60
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