Skip to main content


         This documentation site is for previous versions. Visit our new documentation site for current releases.      
 

Purpose of the guide

Updated on August 31, 2021

The Pega Smart Claims Engine for Healthcare user guide provides information on functionality in the system, such as feature use, configuration, and extension points, where appropriate. This guide focuses on the key capabilities of claims processing.

It provides information supporting each of the main implementation journeys, from initial claims intake, pre-adjudication, business edits and rules, adjudication steps, through to finalization. This guide also provides detailed information on core configurations, personas, and user experience features.

Have a question? Get answers now.

Visit the Support Center to ask questions, engage in discussions, share ideas, and help others.

Did you find this content helpful?

Want to help us improve this content?

We'd prefer it if you saw us at our best.

Pega.com is not optimized for Internet Explorer. For the optimal experience, please use:

Close Deprecation Notice
Contact us