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Pega Smart Claims Engine for Healthcare

Background

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.

Background

Training

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Latest Missions

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Latest Modules

  • 5 Topics

  • 1 hr 20 mins

Pega Smart Claims Engine for Healthcare Healthcare Healthcare and Life Sciences Healthcare Payer Advanced
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Support Center

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