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Updated on April 26, 2021

Orchestrations are used to group a series of sequences together for the purposes of performing the key tasks in the processing of a claim. Orchestrations define the steps that the claim will go through during that processing. For example, if the Smart Claims Engine was implemented to perform just pre-adjudication editing as part of the claim processing, you might name an orchestration Pre-adjudication edits. If the Smart Claims Engine was implemented to manage full end-to-end adjudication, you might create two orchestrations, one for Adjudication and another for Adjustments. Orchestrations are selected by the Smart Claims Engine on receipt of the claim. The visualize claims process screen shows the orchestration that was executed by the Smart Claims Engine during the processing of the claim.

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