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Predicting fraud

  • Module

    Predicting fraud

    1 Topic

    15 mins

    Visible to: All users
  • Occasionally, an insurance claim might be erroneous or even fraudulent. To detect fraud and optimize the way in which the application routes work and...

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Working in the Patient 360 profile

  • Module

    Working in the Patient 360 profile

    8 Topics

    1 hr 35 mins

    Pega Care Management 8.7 Visible to: All users
  • Learn about the key concepts and best practices for configuring Patient 360, including setting the categories for tracking social determinants of...

Updating Assignment routing

Adding a duplicate Case search for BAs

Adding a duplicate Case Type search

Adding optional Actions to a workflow

Adding optional actions to a workflow for BAs

Attaching PDF files to a case

Overriding Case Urgency

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