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Pega Healthcare API

Updated on April 26, 2021

This chapter explains how a user of Pega Smart Claims Engine for Healthcare can leverage the Pega Healthcare API. Pega Healthcare API enables you to leverage built-in REST/JSON services to integrate your Pega applications with external systems to request, receive, and send data. You can call any of the Pega Healthcare API services by using standard HTTP methods (for example: GET, POST, or PUT). The supported APIs provide a standard set of services and request include access to data pages for commonly referenced objects in healthcare applications, for example, Member, Provider, Claim, and so on. These APIs enable rapid deployment of your Pega’s healthcare applications.

Pega Smart Claims Engine for Healthcare uses and extends below Pega healthcare APIs. This chapter gives technical help on how to use those APIs in the application built on Pega Smart Claims Engine for Healthcare. It is advised to the users to first read through the technical specification for Pega Healthcare API, to easily follow this document.

Note: For information on Member networks API and Plan networks API, see the Pega Foundation for Healthcare documents available on Pega Foundation for Healthcare product page.

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