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Pega Smart Claims Engine for Healthcare

Simplify management of modern healthcare challenges.

 

OVERVIEW
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.

Training

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

Support Center

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to find support for Smart Claims Engine for Healthcare.

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Pega Marketplace

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Design patterns

Explore Pega Community Wiki to find expert-approved design best practices for Smart Claims Engine for Healthcare.
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