An introduction to the Pega Smart Claims Engine™ for Healthcare application, this mission provides a high-level overview of the technology stack on...

This module details the claims user interface, describes the components of an Internal Control Number (ICN), reviews claim identifiers, and describes...

In this module, learn about the key concepts, and best practices when implementing and deploying the Pega Care Management™ application.

Medication Therapy Management (MTM) is a free program offered as part of Medicare Part D plans to certain members that meet specific criteria, as...

This module introduces Pega Smart Claims Engine™ for Healthcare and provides an overview of the features and functionality of the application. The...

This module introduces the components of an orchestration in Pega Smart Claims™ Engine for Healthcare.

The modularity of Pega Smart Claims Engine™ for Healthcare and its flexible orchestrations allows Smart Claims Engine to be implemented in a wide...

This module reviews the claims adjudication process and introduces the concept of event codes in Pega Smart Claims Engine™ for Healthcare. It also...