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Get to know Pega Smart Claims Engine

Agility and flexibility are critical in today’s unpredictable regulatory environment. Legacy claims systems are often clunky and not up to the task of supporting reform mandates, increasingly complex risk-sharing agreements, and incentivized health management strategies. Isn’t it time to bring claims management into the digital age?

Pega’s modular approach to processing and superior business rules capability improve claim accuracy and real-time processing – no matter how complex things get. Our low-code solutions mean you can course correct quickly as changes occur. And our automation boosts first pass rates, reduces manual touches, and yields unprecedented levels of administrative efficiency.

Improved auto-adjudication, reduced fees and fines, and improved cash flow. That’s Pega policy.


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