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Module

Claim navigation in Pega Smart Claims Engine

5 Topics

1 hr 20 mins

Pega Smart Claims Engine for Healthcare 8.6
Visible to: All users Applies to: 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 claim and claim line statuses in Pega Smart Claims Engine.

Advanced
Healthcare
Healthcare and Life Sciences
Healthcare Payer
English

After completing this module, you should be able to:

Navigate the user interface of professional, institutional, and dental claims
Describe the structure of an ICN
Describe the different claim and claim line statuses
Search for claims and configure claims search results

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