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Module

Claim navigation in Pega Smart Claims Engine

5 Topics

1 hr 20 mins

Visible to all users
Advanced Pega Smart Claims Engine for Healthcare 8.6 Healthcare Healthcare and Life Sciences Healthcare Payer English

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.

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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