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Predicting fraud
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Modul
Predicting fraud
1 Thema
15 Min.
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Occasionally, an insurance claim might be erroneous or even fraudulent. To detect fraud and optimize the way in which the application routes work and...
Working in the Patient 360 profile
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Modul
Working in the Patient 360 profile
8 Themen
1 Std. 35 Min.
Pega Care Management 8.7 -
Learn about the key concepts and best practices for configuring Patient 360, including setting the categories for tracking social determinants of...
Adding a duplicate Case search for BAs
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Challenge
Adding a duplicate Case search for BAs
4 Aufgaben
15 Min.
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In a DCO session, GoGoRoad stakeholders said that they want to ensure that only one Assistance Request Case is processed for each customer incident...
Adding a duplicate Case Type search
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Challenge
Adding a duplicate Case Type search
3 Aufgaben
10 Min.
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InsCorp wants to ensure that only one Assistance Request Case is processed for each request. Customers that send assistance requests might have...
Adding optional Actions to a workflow
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Challenge
Adding optional Actions to a workflow
1 Aufgabe
5 Min.
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InsCorp wants to ensure that customers can cancel service requests at any time. To support co-production, a system architect configured the Cancel...
Adding optional actions to a workflow for BAs
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Challenge
Adding optional actions to a workflow for BAs
2 Aufgaben
10 Min.
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GoGoRoad wants to assure customers that their assistance requests can be cancelled at any time. Not only does the cancel request functionality provide...
Attaching PDF files to a case
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Challenge
Attaching PDF files to a case
2 Aufgaben
10 Min.
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InsCorp wants to ensure that customers receive an email with a receipt of services, including a breakdown of the services provided. Add two...
Approving work for BAs
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Challenge
Approving work for BAs
5 Aufgaben
20 Min.
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In a Directly Capture Objectives (DCO) session, a GoGoRoad SME explained that they did not always require customers to be enrolled in their membership...
Approving work
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Challenge
Approving work
1 Aufgabe
5 Min.
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The MyTown services coordinator wants to review all the repairs performed as a result of a resident service request. If the repair is satisfactory...
Routing work to users
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Challenge
Routing work to users
2 Aufgaben
10 Min.
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Specific members of the city government perform Assignments on service request Cases. The services coordinator identifies three Assignments that must...