Health-Cloud-Accredited-Professional Exam Questions With Explanations

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Salesforce Health-Cloud-Accredited-Professional Exam Sample Questions 2025

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22284 already prepared
Salesforce Spring 25 Release
228 Questions
4.9/5.0

In which three ways does Health cloud meet compliance and regulatory requirements? (Choose three.)

A. Health Cloud helps HLS organization achieve HIPAA Compliance

B. Health cloud is HIPAA certified

C. Health cloud is HITRUST certified

D. Health cloud is GDPR certified

E. Health cloud is HL-7 Compliant

A.   Health Cloud helps HLS organization achieve HIPAA Compliance
C.   Health cloud is HITRUST certified
E.   Health cloud is HL-7 Compliant

Explanation:

A. Health Cloud helps HLS organization achieve HIPAA Compliance
Correct: Salesforce Health Cloud provides features and configurations designed to help healthcare and life sciences (HLS) organizations meet HIPAA (Health Insurance Portability and Accountability Act) compliance requirements. This includes robust security measures like data encryption, access controls, and audit trails to protect protected health information (PHI). While Salesforce provides tools to support HIPAA compliance, organizations must configure and manage their instance appropriately to ensure full compliance.

B. Health Cloud is HIPAA certified
Incorrect: Salesforce Health Cloud is not "HIPAA certified" as there is no formal certification for HIPAA compliance. Instead, Salesforce offers a Business Associate Agreement (BAA) and implements security controls to help customers achieve HIPAA compliance. The responsibility for compliance lies with the organization, not a certification of the platform itself.

C. Health Cloud is HITRUST certified
Correct: Salesforce Health Cloud is built on the Salesforce platform, which has achieved HITRUST CSF (Common Security Framework) certification. This certification demonstrates that the platform meets rigorous security and risk management standards, particularly relevant for healthcare organizations handling sensitive data.

D. Health Cloud is GDPR certified
Incorrect: There is no formal "GDPR certification" for software platforms like Health Cloud. While Health Cloud includes features to support General Data Protection Regulation (GDPR) compliance (e.g., data protection and consent management tools), GDPR compliance is the responsibility of the organization using the platform, and Salesforce provides tools to help meet those requirements rather than being certified itself.

E. Health Cloud is HL-7 Compliant
Correct: Health Cloud supports HL7 (Health Level Seven) standards, particularly through its integration capabilities with HL7-compliant systems like FHIR (Fast Healthcare Interoperability Resources). This allows Health Cloud to facilitate interoperability and data exchange in a standardized format commonly used in healthcare for clinical and administrative data.

References:
Salesforce documentation on Health Cloud security and compliance features, including support for HIPAA, HITRUST, and HL7 standards.
Salesforce Trust and Compliance documentation for HITRUST certification and GDPR support.

A payer needs to enable its agents to answer questions from members regarding their benefits coverage. The payer has already set up the required objects to be populated with the necessary information through an integration. Which Health Cloud component should a consultant recommend for the Member record page?

A. Benefits Verification

B. Eligibility Validation

C. Benefits Coverage

D. Coverage Confirmation

C.   Benefits Coverage

Explanation:

🧠 Why “Benefits Coverage” is the right choice:
The Benefits Coverage component in Salesforce Health Cloud is designed to display detailed information about a member’s insurance benefits directly on the Member record page. It pulls data from integrated objects like MemberPlan, PurchaserPlan, and PlanBenefit, allowing agents to:

View covered services, copays, deductibles, and limitations
Answer member inquiries about what’s included in their plan
Navigate benefit details without leaving the member profile

This component is ideal when the data is already populated via integration, as in your scenario.

❌ Why the other options don’t fit:
A. Benefits Verification
This is used to initiate and track verification requests with payers, often in real-time. It’s more about confirming coverage status than displaying pre-integrated benefit details.
B. Eligibility Validation
This refers to checking whether a member is eligible for services or coverage, typically tied to real-time eligibility checks or rules—not a UI component for agents to view benefit details.
D. Coverage Confirmation
This is not a standard Health Cloud component for the Member record page. It may refer to a process or status, but not a UI element designed for agent interaction.

Which two preference must a salesforce administrator enable to begin using Intelligent Sales for Medical Devices? (Choose two)

A. Visit Inventory Management

B. Intelligent Sales

C. Action Plans

D. Lightning Flows

E. Lightning App builder

A.   Visit Inventory Management
B.   Intelligent Sales

Explanation:

1. A. Visit Inventory Management
This enables tracking of medical device inventory during sales visits (e.g., samples, demo units), which is critical for medical device reps.

2. B. Intelligent Sales
This is the core preference that activates the Intelligent Sales features specifically for medical device sales workflows.

Why Not the Others?
❌ C. Action Plans – Useful for task management but not required for Intelligent Sales functionality.
❌ D. Lightning Flows – While flows power parts of the experience, enabling them isn’t a prerequisite.
❌ E. Lightning App Builder – Used for UI customization but not a mandatory toggle for Intelligent Sales.

Which three business process are supported by Salesforce HC utilization Management? (Choose 3)

A. Ticketing

B. Physician Request

C. Drug Request

D. Admissions

E. Appeals

B.   Physician Request
C.   Drug Request
D.   Admissions

Explanation:

âś… B. Physician Request
Documentation: Health Cloud’s UM module includes CareRequest objects for provider-initiated authorizations (referrals, procedures).
Example: A cardiologist requests approval for a stress test.

âś… C. Drug Request
Documentation: Medication_Request__c object handles prior auths for medications, tied to FHIR MedicationRequest.
Example: Step-therapy requirements for specialty drugs.

âś… D. Admissions
Documentation: Admission_Review__c object manages inpatient/outpatient authorization workflows.
Example: Concurrent reviews for hospital stays.

Why Appeals (E) and Ticketing (A) Are Not UM-Specific:

❌ E. Appeals
While appeals exist in UM, they’re tracked as standard Cases (not a dedicated UM process). Health Cloud routes appeals to Case Management, not UM-specific objects.

❌ A. Ticketing
Generic Service Cloud functionality (e.g., Case objects). UM uses specialized objects like CareRequest, not tickets.

Which underlying object helps with sales compliance with sales agreements?

A. Opportunities

B. Contacts

C. Orders

D. Forecasts

C.   Orders

Explanation:

In the context of healthcare sales, compliance with sales agreements is paramount. This often involves tracking contract terms, pricing, and delivery of products or services against what was agreed upon. The Order object is the core Salesforce object designed to manage the products, quantities, and agreed-upon prices from a closed-won Opportunity. It serves as the official record of the sale and what was committed to the customer (the facility or provider).
Once an Opportunity is won, it is common practice to generate an Order.
The Order object can then be used to track fulfillment, invoicing, and compliance with the agreed terms.
This makes it the fundamental object for ensuring the sales team delivers what was promised in the agreement, which is the basis of sales compliance.

Why the other options are incorrect:
A. Opportunities: The Opportunity object represents a potential sale or deal in the pipeline. It is used for forecasting and tracking the stages of a sales process before an agreement is finalized. It is not the system of record for enforcing compliance with the final, executed agreement.
B. Contacts: Contacts represent people (e.g., providers, decision-makers). While relationships with contacts are crucial for making a sale, the Contact object itself does not contain the contractual details necessary to manage compliance with a sales agreement.
D. Forecasts: Forecasts are managerial tools for predicting future sales based on Opportunities. They are used for planning and quota setting but have no functional role in tracking or enforcing the compliance of executed contracts.

Reference:
This aligns with standard Salesforce CRM functionality where the Order object is the fulfillment of a closed Opportunity. In the highly regulated healthcare industry, this becomes critical for compliance. The importance of the Order object in the sales process is covered in general Salesforce CRM knowledge and is implied within the Health Cloud context for managing provider and facility agreements.

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Frequently Asked Questions

This exam tests your ability to implement and configure Health Cloud features to manage patient data, care plans, care teams, and healthcare workflows securely. It evaluates your knowledge of clinical data management, patient engagement, and compliance.
Key topics include:
  • Health Cloud data model (Patient, Provider, Care Plan, Care Team)
  • Patient and account management
  • Care plan and task configuration
  • Care team setup and role assignments
  • Health Cloud security and HIPAA compliance
  • Reporting, dashboards, and analytics
  • Integrations with external healthcare systems (FHIR, HL7)
  • Create a Care Plan record linked to the patient.
  • Define Goals, Milestones, and Tasks for coordinated care.
  • Assign Care Team members with appropriate roles.
  • Set task dependencies and notifications to track progress.
  • Use Automation Rules for repetitive workflows.
  • Set Object and Field-Level Security for sensitive data.
  • Use sharing rules to control access for care team members.
  • Apply Record Types and profiles to segment patient data access.
  • Audit all workflows and integration points for data security.
  • Use task dependencies and milestones to prevent conflicts.
  • Assign tasks based on role responsibility.
  • Implement notifications for task ownership and completion.
  • Review care plan schedules to ensure workflow efficiency.
  • Create custom report types for patients, care plans, and tasks.
  • Apply filters for milestones, task completion, and compliance tracking.
  • Build dashboards for executive oversight and care team visibility.
  • Leverage Health Cloud standard objects for accurate reporting.
  • Use FHIR or HL7 APIs to exchange clinical data.
  • Map external identifiers to Salesforce patient records.
  • Ensure secure data transmission and compliance with HIPAA.
  • Implement middleware if complex data transformations are required.
  • Verify Care Plan, Patient, and Care Team records for completeness.
  • Check task assignment rules and dependencies.
  • Use audit logs to trace workflow and configuration changes.
  • Validate integration endpoints for proper data exchange.
  • Misconfiguring Care Team roles or tasks.
  • Overlooking patient data security or HIPAA compliance.
  • Ignoring task dependencies in care plans.
  • Failing to use automation to manage repetitive workflows.
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