---
schema_version: "1"
id: 0dd17f5035d51e692d70de4ca53c477477d37e9ec779626da648997e39e1de9b
title: Health | Find Provider Claims
collection: admin
version: current
locale: en-us
portal_url: https://docs.salesforce.com/admin/current/en-us/ai/264-0-0/agent_ref_hc_find_provider_claims.md
canonical_url: https://help.salesforce.com/s/articleView?id=ai.agent_ref_hc_find_provider_claims.htm&release=264.0.0&type=5
source_site: help.salesforce.com
content_type: documentation
content_hash: f74e957a0a86260ee12c29ecc1a2a07564a8980389dd3ec1199b1e002bf10f49
description: Retrieves claim records for a healthcare provider from an external zero copy system based on the provider NPI, service start date, and service end date. Optionally, filters by member number, claim status, preauthorization ID, or claim ID. Returns up to the 20 most recent claims.
products:
  - Agentforce
  - Cross Cloud
release: "264"
---
# Health | Find Provider Claims

Retrieves claim records for a healthcare provider from an external zero copy system based on the provider NPI, service start date, and service end date. Optionally, filters by member number, claim status, preauthorization ID, or claim ID. Returns up to the 20 most recent claims.

### Required Editions

<table class="slds-table slds-table_bordered slds-max-medium-table_stacked slds-m-bottom_small edition"><colgroup><col></colgroup><tbody><tr class=""><td class="slds-cell-wrap" style="vertical-align:top;">Available in: Lightning Experience</td></tr><tr class=""><td class="slds-cell-wrap" style="vertical-align:top;">Available in: <strong>Enterprise</strong>, <strong>Performance</strong>, <strong>Unlimited</strong>, and <strong>Developer</strong> Editions with the Agentforce for Health add-on or included in Agentforce 1 Health Edition. Requires each user to have the Agentforce for Health add-on to access the action.</td></tr></tbody></table>

<table class="slds-table slds-table_bordered slds-max-medium-table_stacked slds-m-bottom_small permission">
      <colgroup>
        <col style="width:50%">
        <col style="width:50%">
      </colgroup>
      <thead class="slds-text-title_caps ">
        <tr class="">
          <th scope="col" class="slds-cell-wrap" style="text-align:center;vertical-align:top;" id="d44185e85">User Permissions Needed</th>
          <th scope="col" class="slds-cell-wrap" style="vertical-align:top;" id="d44185e88">&nbsp;</th>
        </tr>
      </thead>
      <tbody>
        <tr class="">
          <td data-label="User Permissions Needed" class="slds-cell-wrap" style="vertical-align:top;" headers="d44185e85 ">To use this action:</td>

          <td data-label="" class="slds-cell-wrap" style="vertical-align:top;" headers="d44185e88 ">
            <p>Use Contact Center AI Assistive Agent</p>
            <p>AND</p>
            <p>Contact Center Agent for Health Cloud
              permission set</p>
            <p>AND</p>
            <p>Prompt Template User</p>
            <p style="margin-bottom:0;">AND</p>
            <p style="margin-bottom:0;">Data Cloud User</p>
          </td>

        </tr>
        <tr class="">
          <td class="slds-cell-wrap" colspan="2" style="vertical-align:top;" headers="d44185e85 d44185e88 ">See <a href="https://help.salesforce.com/s/articleView?id=ai.agent_actions_common_perms.htm&amp;type=5&amp;language=en_US" target="_blank">Common User Access for Standard Agent Actions</a>.</td>

        </tr>
      </tbody>
    </table>

![Note](https://sf-zdocs-cdn-prod.zoominsoftware.com/tdta-ai-generative_ai-264-0-0-production-enus/f8ef6498-d7b2-44e3-9b34-ffd5a850aae9/images/icon_note.png)

Note The user interface of this product is available only in English and may not be fully supported in other languages.

## Action Details

<table class="slds-table slds-table_bordered slds-max-medium-table_stacked slds-m-bottom_small "><colgroup><col style="width:50%"> <col style="width:50%"></colgroup><tbody><tr class=""><td class="slds-cell-wrap" style="vertical-align:top;">API Name</td><td class="slds-cell-wrap" style="vertical-align:top;">FindProviderClaims</td></tr><tr class=""><td class="slds-cell-wrap" style="vertical-align:top;">Reference Action Type</td><td class="slds-cell-wrap" style="vertical-align:top;">Flow</td></tr><tr class=""><td class="slds-cell-wrap" style="vertical-align:top;">Does this action run one or more prompt templates?</td><td class="slds-cell-wrap" style="vertical-align:top;">No</td></tr><tr class=""><td class="slds-cell-wrap" style="vertical-align:top;">Required Setup</td><td class="slds-cell-wrap" style="vertical-align:top;"><a href="https://help.salesforce.com/s/articleView?id=ind.hc_admin_set_up_agentforce_payer_contact_center.htm&amp;language=en_US" target="_blank">Set Up Agentforce for Payer Contact Center</a></td></tr></tbody></table>