---
schema_version: "1"
id: 5b2ca06ec4c09661940626832f7a851dd1359553f2960c9535aa27ad2dcb55b4
title: Health | Generate FHIR Payload for Eligibility and Benefit Verification
collection: admin
version: current
locale: en-us
portal_url: https://docs.salesforce.com/admin/current/en-us/ai/264-0-0/agent_ref_hc_generate_fhir_payload_ebv.md
canonical_url: https://help.salesforce.com/s/articleView?id=ai.agent_ref_hc_generate_fhir_payload_ebv.htm&release=264.0.0&type=5
source_site: help.salesforce.com
content_type: documentation
content_hash: c4c1d5c79243d0f159af1b539f4bc9df1db6546496d4ba4e9fa8e625c33dc987
description: Generates the FHIR input payload for eligibility and benefit verification request.
products:
  - Agentforce
  - Cross Cloud
release: "264"
---
# Health | Generate FHIR Payload for Eligibility and Benefit Verification

Generates the FHIR input payload for eligibility and benefit verification request.

### 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="d42264e85">User Permissions Needed</th>
          <th scope="col" class="slds-cell-wrap" style="vertical-align:top;" id="d42264e88">&nbsp;</th>
        </tr>
      </thead>
      <tbody>
        <tr class="">
          <td data-label="User Permissions Needed" class="slds-cell-wrap" style="vertical-align:top;" headers="d42264e85 ">To use this action:</td>

          <td data-label="" class="slds-cell-wrap" style="vertical-align:top;" headers="d42264e88 ">
            <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="d42264e85 d42264e88 ">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 agent uses public FHIR APIs to verify patient eligibility and benefits for healthcare providers from any certified EMR such as Epic, Oracle Cerner, and AthenaHealth. Data retrieval has been tested in the publicly available sandbox environments of these EMRs.

The agent leverages a pre-packaged [MuleSoft API](https://anypoint.mulesoft.com/exchange/org.mule.examples/generic-fhir-client-api/minor/1.2/console/method/%233963/) to interact with these FHIR endpoints. To enable the integration, provide the EMR-specific FHIR base URLs and credentials outlined on the [MuleSoft setup](https://www.mulesoft.com/exchange/org.mule.examples/generic-system-app/minor/1.3/pages/hb1-pmy/Setup/) page.

![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;">GenerateEligBnftVerfFHIRPayload</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;">Prompt Template</td></tr><tr class=""><td class="slds-cell-wrap" style="vertical-align:top;">Reference Action</td><td class="slds-cell-wrap" style="vertical-align:top;">Generate FHIR Payload for Eligibility and Benefit Verification (GenerateEligBnftVerfFHIRPayload)</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;">Yes</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_cs_agentforce_for_contact_center.htm&amp;type=5&amp;language=en_US" target="_blank">Set Up Agentforce for Provider Contact Center</a></td></tr></tbody></table>

## Generate FHIR Payload for Eligibility and Benefit Verification and Prompt Templates

This action uses the Generate FHIR Payload for Eligibility and Benefit Verification prompt template to generate the request payload in JSON format to process the user's request.