The member data model now holds multiple member IDs within a single member data object. This capability was introduced to accommodate a “keyring” approach to member matching during the adjudication of claims, which facilitates the use of a combination of ID and demographic data. ‘PegaHC-Data- .OtherInformation’ page list property is used to capture the keyring information.

Out-of-the box member ID types now include the following:

• Pega Member (auto-generated)
• Pega Subscriber
• National Insurance Number
• U + Health Medical
• U + Health Dental
• Medicaid
• Medicare
• Medicare Supplemental
• Social Security Number
• Medicare Beneficiary Number (MBI)

To add a new ID type, add ID type information to PegaHC-Data- MemberIDType class records.

• Building features