
Data Sheet
Pega Claims Automation Suite
KEY CHALLENGE
Health plans must improve operational performance in a world of consumerism, reform mandates, increasingly complex risk-sharing agreements and incented health management strategies. In the reforming market, poor first pass rates and inefficient manual claims processing will thwart health plan competitive edge, growth and compliance.
THE SOLUTION
The Pega Claims Automation for Healthcare application suite provides unprecedented flexibility to rapidly automate claims repair and boost first pass rates. Leveraging the market’s industry leading workflow, business rules and case management tools, the Pega claims workstation enables demonstrable improvements in operational efficiencies, complex processing and pend management.
Etiqueta
Recursos relacionados
-
Video
Presentación de Pega y Siemens en PegaWorld iNspire 2020 | No solo hay que hablar, sino transformarse: cómo sobrevivir y prosperar en un mundo alterado
-
Video
Demo: COVID-19 Employee Safety and Business Continuity Tracker
-
Libro electrónico
Libro electrónico con historias de éxito de clientes de Pega: Resultados finales

Investigación y conocimientos recomendados
Vea las novedades, lo próximo y las tendencias actuales.

Por qué elegir Pega
Un software excepcionalmente potente no es lo único que nos diferencia.