Skip to main content

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

Standard case types

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

Case TypeDescription
ComplaintsProvides end-to-end workflow processes to capture and manage member complaints.
CodesProvides end-to-end workflow processes to create, search, view, and maintain industry standard code sets and custom code groups in the Foundation.
UploadcodesProvides end-to-end workflow process for consuming change files on a weekly/ monthly/yearly frequency and updating versions for (HCPCS/CPT/ICD10) Codes.
Manage object model

Provides create and update workflows for managing the sample data objects available on the sample data admin portal, including:

  • Authorizations
  • Business Entities (Provider)
  • Claims
  • Companies
  • Employer Group Contracts
  • Members
  • Payers
  • Policies
  • Practitioners
  • Providers
  • Provider Contracts
  • Provider Networks
  • Provider Rate Sheets
  • Provider Pricing Arrangements

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

Close Deprecation Notice
Contact us