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
- 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.