Within Pega Smart Claims Engine for Healthcare, the Claims Examiner (or any configured role) is given the opportunity to correct or adjust the Claim using the actions button on the screen. The field level security can be defined as a functionality within the Claim System which allows the administrators to configure the fields which would be available on the UI for correction and adjustments. This configuration can be role specific if needed.

This section shows how the fields are configured for claims corrections and adjustments.

• Business user information

• Core Configuration