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Primary data entities

Updated on October 5, 2021

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.

NameDescriptionSystem 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..) listPega 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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