1. Salesforce Health Cloud Developer Guide: The "Health Cloud Business APIs" section details the pre-built APIs for common healthcare processes. It explicitly lists and describes the purpose of the Benefit Verification, Prior Authorization, and Referral Request APIs for provider-payer communication.
Reference: Salesforce Help, Health Cloud Developer Guide, "Health Cloud Business APIs". This section outlines the APIs designed to "streamline communication between providers and payers," including those for verifying benefits and submitting authorization or referral requests.
2. Salesforce Health Cloud for Payers Documentation: This documentation describes how payers use Health Cloud to manage member services, including processing incoming requests from providers.
Reference: Salesforce Help, "Health Cloud for Payers", section on "Utilization Management". This area details the workflows for handling prior authorizations, benefit verifications, and referrals, which are initiated via the corresponding business APIs.