Primary data entities
This section describes some of the key data types included in the Pega Foundation for Healthcare object model which are widely leveraged across other Pega healthcare applications.
| Name | Description | System of record (SOR) |
| Authorization | Pre-configured industry standard attributes for a healthcare service authorization. Many attributes include pre-configured standard code values. | Pega |
| Benefit Coverage | Pre-configured industry standard attributes for a healthcare benefits coverage. This data type can be used for member’s plan benefit information. | Pega |
| Claim | Pre-configured industry standard attributes for a healthcare claim. Data object can be used for claim-related operations such as mapping from a X12 claim file and claim adjudication. | Pega |
| Service | This data class provides pre-configured industry standard attributes for a healthcare service. It is a superset of common attributes that are used across Authorization, Claim, and Claim Lines. | Pega |
| Member | This data class provides pre-configured industry standard attributes for a member and enables membership related operations such as enrollment, service, and eligibility. | Pega |
| Provider | This data class provides pre-configured industry standard attributes for a provider. Many attributes include pre-configured standard code values. The class is further specialized for Practitioner and Service Org to hold data attributes that are specific for NPI Type 1 (Practitioner) and Type 2 (Facility) type providers. | Pega |
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