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Pega Smart Claims Engine Foundation
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Mission
Pega Smart Claims Engine Foundation
4 Module
2 Std. 25 Min.
Pega Smart Claims Engine for Healthcare 8.7 -
An introduction to the Pega Smart Claims Engine™ for Healthcare application, this mission provides a high-level overview of the technology stack on...
Claim navigation in Pega Smart Claims Engine
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Modul
Claim navigation in Pega Smart Claims Engine
5 Themen
1 Std. 20 Min.
Pega Smart Claims Engine for Healthcare 8.6 -
This module details the claims user interface, describes the components of an Internal Control Number (ICN), reviews claim identifiers, and describes...
Implementing and deploying Pega Care Management
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Modul
Implementing and deploying Pega Care Management
6 Themen
55 Min.
Pega Care Management 8.7 -
In this module, learn about the key concepts, and best practices when implementing and deploying the Pega Care Management™ application.
Medication Therapy Management
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Modul
Medication Therapy Management
2 Themen
40 Min.
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Medication Therapy Management (MTM) is a free program offered as part of Medicare Part D plans to certain members that meet specific criteria, as...
Pega Smart Claims Engine
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Modul
Pega Smart Claims Engine
3 Themen
20 Min.
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This module introduces Pega Smart Claims Engine™ for Healthcare and provides an overview of the features and functionality of the application. The...
Pega Smart Claims Engine components
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Modul
Pega Smart Claims Engine components
3 Themen
35 Min.
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This module introduces the components of an orchestration in Pega Smart Claims™ Engine for Healthcare.
Pega Smart Claims Engine implementation scenarios
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Modul
Pega Smart Claims Engine implementation scenarios
4 Themen
40 Min.
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The modularity of Pega Smart Claims Engine™ for Healthcare and its flexible orchestrations allows Smart Claims Engine to be implemented in a wide...
Smart Claims Engine product overview
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Modul
Smart Claims Engine product overview
3 Themen
30 Min.
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This module reviews the claims adjudication process and introduces the concept of event codes in Pega Smart Claims Engine™ for Healthcare. It also...
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...