Primary data entities
This section describes the data types that are used by Sales Automation for Healthcare, stored in external systems or, where appropriate, internally to the Pega system.
Name | Description | System of record |
Account | An economic decision-making unit. It Is a logical or physical group to which a product or service is sold. | Pega |
Plan | Plans (Medical, Dental, Vision, etc..) list | Pega PCS or external system |
Benefit summary | Summary of benefits that are part of the plans. | Pega PCS or external system |
Benefit -- definition | List of all Benefit definitions | Pega PCS or external system |
Member | Member details | External system |
Coverage or rating areas | List of Provider coverage rating area codes where plans will be sold | Pega |
Plan mapping details | Old Plans and new plans mapping table. Used during Renewals | Pega |
A complete list of data model entries can be obtained from the Pega Sales Automation for Healthcare product page.
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