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New reports

Updated on December 17, 2021

Pega Care Management version 8.7 has new reports in the Care Management, CSR Performance, and Utilization Management (UM) categories. Your persona determines whether you have access to these reports.

The following lists show the new reports. For more information, see "Pega Care Management reports" in Customizing reports.

Care Management

  • Program referral status

UM Reports

  • Upcoming peer-to-peer reviews
  • Appeal overturn denials by MD
  • Auth Adherence
  • Auth denials by MD
  • Peer-to-peer reviews by MD

CSR performance

  • Visits scheduled
  • Assessment status

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