Pega Claims Automation for Healthcare
Boost first pass rates, reduce manual touch, and drive down costs with more agile automated claims processing. Pega’s pre-built edits and customized rules yield unprecedented levels of efficiency.
Empower your claims examiners to work more accurately and efficiently. Inventory management and skills-based routing send the right claims information to the right examiner to manage backlog.
Deliver on your promises to customers, partners, and regulators with automated SLA management. Configure complex benefits and reimbursement rules to service what you sell and reduce late processing.
ECM Taxonomy Terms:
Industry Level Only