Step 7: 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
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