Skip to main content

Pega Smart Claims Engine for Healthcare


Pega Smart Claims Engine for Healthcare

Simplify management of modern healthcare challenges.

Pega Smart Claims Engine for Healthcare provides model-driven innovation by processing medical and dental claims from intake through finalization. It supports adjustments, manual or automatic splitting of claims and claim lines, work queue routing for pended claims, claim status updates, balancing, and surcharges - all on a flexible adjudication platform.



See latest trainings for Smart Claims Engine for Healthcare in Pega Academy, Pega’s one-stop enablement center.

Support Center

Ask questions or join discussions in Pega Support Center to find support for Smart Claims Engine for Healthcare.

Latest Questions

View all Questions

Latest Discussions

No new content available. Check back soon!

Other resources

Pega Marketplace

Browse community-created solutions, components, and language packs that maximize the value of your product.
Go to Pega Marketplace

Did you find this content helpful?

Want to help us improve this content?

We'd prefer it if you saw us at our best.

Pega Community has detected you are using a browser which may prevent you from experiencing the site as intended. To improve your experience, please update your browser.

Close Deprecation Notice
Contact us