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Article

Mar 22, 2019

Pega Care Management includes a set of predefined access roles and privileges for the standard application user roles. You can modify these roles to meet the needs of your organization. The following table lists the access roles and the Pega Care Management features. An X in the table cell…

Article

Mar 22, 2019

The Pega Care Management application provides the case types that are listed in the following table. Case Description Appeal Used for raising appeals and grievances when an authorization or request for coverage of a service has been denied. Care management Used as the parent case to manage work…

Article

Mar 22, 2019

The Pega Care Management application includes the reports that are described in this article. You can view these reports in the My Reports tab in the CM Care Manager or UM Service Manager portals and get the details of a specific report by clicking the links for the line items. For information…

Article

Dec 7, 2018

Pega Care Management 8.1 has deprecated some rules. You should avoid using the deprecated rules listed in the following table because they no longer follow recommended development practices and might not be supported in a future release. Instead, use the supported alternatives. Label Applies to…