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Configuring the benefit determination module

Updated on April 26, 2021

Benefit determination is an automated process that is executed by Smart Claims Engine in the benefit determination module (CE_DetermineBenefit), one of several sequence modules required to support the application’s adjudication process.

To configure the benefit determination module.

  1. Select the Designer Studio > Claims Engine > Claims Engine Configuration landing page.

    All processing modules are displayed on the Claims Engine Configuration landing page.

  2. Click the CE_DetermineBenefits hyperlink.

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