Resolve provider claim inquiries faster with the enhanced Claims Service Assistance subagent. Reps can now ask the payer contact center agent about provider claims by using natural language. The subagent retrieves and summarizes claims by the provider's National Provider Identifier (NPI), claim ID, or service date range. Reps can quickly access details such as payment status, amounts, and processing errors via a formatted summary card, helping them focus on callers instead of searching for records.
Where: This change applies to Lightning Experience in Enterprise and Unlimited editions with the Health Cloud, Agentforce for Health Cloud, and Data Cloud add-on licenses.
When: This feature is available starting October 2, 2026.
Who: This feature is available to users with the Contact Center for Health Cloud permission set, the Contact Center Agent for Health Cloud permission set, and the Use Contact Center AI Assistive Agent user permission.
How: In Setup, on the Contact Center Settings page, turn on Contact Center for Health Cloud. On the Agentforce for Payer Contact Center tab, follow the guided setup steps in the Configure Agentforce for Claims section.