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Member data management

Updated on April 12, 2021
Pega Foundation for Healthcare Product Overview

Pega Foundation for Healthcare provides the infrastructure to efficiently configure and maintain membership/patient data for individuals and their family members (spouses, dependents, and so on). The foundation also efficiently manages member/patient relationships with benefit plans, policies, and membership contracts, and fully integrates with multiple member-centric applications, to support a wide range of healthcare transactions. These applications and transactions include but are not limited to customer relation management (Pega Customer Service for Healthcare), claims adjudication (Pega Smart Claims Engine), care management (Pega Care Management), and product, plan and benefit development (Pega Product Composer System).

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