Agentforce Health feature groups matched to customer requirements
Key Takeaway
Pick the feature group by what the requirement is about: serving patients or members, delivering care, managing providers, reviewing requested services, or selling.
Agentforce Health sorts its features into feature groups. Each group is an industry-recognized category tied to a common healthcare business need. A consultant uses these groups to match a customer requirement, such as prior authorization or provider credentialing, to the right set of capabilities for providers, who care for patients, and payers, which are health plans that serve members.
Feature groups and the requirements they fit
Feature groups are nonexclusive groupings of Agentforce Health features, made for ease of reference. Because they are nonexclusive, one feature can belong to more than one group. The features work together with other Salesforce products to power solutions for common healthcare scenarios.
Each feature group fits a different kind of requirement, so start with what the customer is asking for.
| Feature group | Fits requirements about |
|---|---|
| Patient and Member Services | Engaging and serving patients or members |
| Care Orchestration | The actual delivery of care: when, where, and how patients receive it |
| Provider Network and Relationship Management | Building and managing a provider network |
| Utilization Management | Utilization reviews, such as prior authorization and service requests, to better manage the cost of care |
| Sales and Commercial Excellence | The end-to-end sales process, from lead generation to fulfilling orders |
The first four groups in the table are the core feature groups, which apply to both providers and payers. The four core groups have the same names for providers and payers, but the audience changes. Provider organizations use them to engage patients, and payers use them to engage members.
Sales and Commercial Excellence is another feature group. Its accurate forecasts give transparency across sales and commercial units.