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Article

Aug 29, 2019

Pega Product Composer for Healthcare provides the Mass Update wizard. Use this feature to save time when you need to perform modifications across multiple entities by adding, updating, or removing new and existing benefits and groupers within a set of selected target benefit sets, product templates…

Article

Aug 16, 2019

You can extract complex plan and benefit data from Pega Product Composer for Healthcare into a standard flattened structure. You use this flattened structure in downstream data, such as claims adjudication or as input to a System for Electronic Rate and Form Filing (SERFF) file. This means that…

Article

Aug 16, 2019

With Pega Product Composer for Healthcare, you can import data for each of the following entities: benefit, grouper, benefit set, network, policy term, and policy. With this feature, you define the required benefits data in a Microsoft Excel template that is included in the application. For example…

Article

Aug 16, 2019

The Pega Product Composer System for Healthcare application includes reports that are organized by categories. You can view these reports in the My Reports tab in the Product Manager or the Product Development portal. You can get the details of a specific report by clicking the links for the line…

Article

Aug 16, 2019

Life cycle management is the process of managing benefits, products, and plans throughout their natural life cycle from inception, through configuration and production, to service, and finally retirement. Pega Platform provides customizable, stage-based life cycle management. This feature gives you…

Article

Aug 16, 2019

In Pega Product Composer for Healthcare, entities such as a benefit or plan can undergo changes in their life cycle. Workflows of these entities generally progress at different times in discrete phases. During a phase, you might need to allocate a different set of data or enforce different business…