Defining integration
You must inventory which external applications exist at your site and plan how to connect to them. Some common integration points for the Pega Foundation for Healthcare include interfaces to:
- Membership and enrollment systems of record
- Plan benefit and eligibility management systems
- Practitioner and provider system of records
- Provider networks and contracting systems
- Medical (utilization) management systems
- Claims system
- X12 EDI gateways/source systems
- Pre-configured REST APIs
- Pre-configured HL7 FHIR REST APIs
- Pre-configured SOAP integration for MS Outlook Exchange (Deprecated)
- Navigating to the pre-configured external data pages
- Viewing REST API data model schema
- Pre-configured X12 5010 EDI message services
- Pre-configured X12 5010 837 claim de-batch process
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