They need stable water parameters and should only be put into a mature tank (9+ months old). You need good calcium/alk levels as well. Ca should really never go below 400ppm (420ppm if you really want to be safe), alkalinity 8-10dKH. I always suggest getting the Salifert or Elos test kits for alkalinity and calcium if you're going to keep critters that require these (clams, SPS, etc) API kits are not as accurate.
They are a rock boring clam and usually do not thrive in sand.
They need intense lighting (MH or good T5). If placed correctly under your lighting, you should be fine.
If you do intend on feeding them, add the food to the water column and allow them to filter it (turning off all filtration helps), do not attempt to force feed them, this will usually kill them. Smaller clams are the ones that really require feeding, over 2-3" do not need to be fed, they will just filter what's in the water column and since you have fish in your tank, they won't starve.
Under 2" usually = death. They have a much higher survival rate over 3"
Be very specific with finding out what type of lighting they have been kept under, especially a smaller specimen as you may need to adapt it to your lighting. I try to tell people that if you have MH's, don't buy a clam that's been kept under T5's for a long period of time, it just makes the process easier for you, but it's not impossible either way.
I think you have a Coral Beauty (correct me if I'm wrong, I can't keep track of everyone), if so, just keep an eye out that they don't nip at the mantle.
As far as difficulty level, if they're placed in a stable tank with good lighting that already has fish, they're fairly easy to keep. It's when they're placed in a new tank, or a tank with inadequate lighting, or a tank with inhabitants that aren't suited for a clam that there are issues.
I have a 150W MH in my 30" tall column. My LR reaches up about 24-26", so there is only 4-6" from the top of the LR to the surface of the water. MH is clipped on about 6-8" above the water line. My CB seems to be quite peaceful, as he has never nipped at the anthelis, goniopora, or my zoos. The BT anamone seems to like the top layer of rock and has wedged itself in. It does move, but only to different spots on the top layer of LR. Would the BTA and the clam play well together in the proverbial sandbox? Based on my tank description, would a lower layer of rock be acceptable for it? I am already turning everything off and adding 2 tsp. Of microplankton every other day for about 5 min.