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Module

Pega Smart Claims Engine implementation scenarios

4 Topics

40 mins

 Visible to: All users
Beginner Healthcare Healthcare Payer English

The modularity of Pega Smart Claims Engine™ for Healthcare and its flexible orchestrations allows Smart Claims Engine to be implemented in a wide variety of ways to address specific business problems. This module presents the most common Smart Claims Engine implementation scenarios.

After completing this module, you should be able to:

Describe the four most common implementation scenarios
Characterize the features of each implementation scenario
Explain the business problems solved by each approach

Available in the following mission:

Pega Smart Claims Engine Foundation v1

Topics

Pre-adjudication

10 mins

Post-adjudication

10 mins

External pend management

10 mins

End to end transformation

5 mins

Module Quiz

5 mins

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