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Pega Smart Claims Engine for Healthcare hotfixes

Updated on July 12, 2021

 The following sections list required hotfixes for the Pega Smart Claims Engine for Healthcare application. To request a hotfix, go to My Support Portal. Click New request > For something I need and select Service request > Existing hot fix. Add and verify the hotfix details and click Finish.

Import each type of hotfix in the listed order during the Pega Smart Claims Engine for Healthcare installation or upgrade:

  • Apply Pega Platform hotfixes immediately after the Pega Platform installation or upgrade.
  • Apply Pega Smart Claims Engine for Healthcare hotfixes just after you complete the application bundle import.

To see hotfix installation details, see the readme that is included in the hotfix.

 

Pega Smart Claims Engine for Healthcare 8.6

Required Pega Smart Claims Engine for Healthcare 8.6 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.6HFix-80956COB amounts not balanced while splitting the claim.

 

Pega Smart Claims Engine for Healthcare 8.5

There are currently no required hotfixes for Pega Smart Claims Engine for Healthcare 8.5.

 

Pega Smart Claims Engine for Healthcare 8.3

Required Pega Smart Claims Engine for Healthcare 8.3 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.4HFix-67568In Pega Smart Claims Engine for Healthcare 8.3, security has been enhanced on a number of rules by the addition of an existing privilege “AllFlows”.
8.3HFix-59619Enhancements/ Revamp to Adjustment/ SLA/ Data Masking
HFix-67568In Pega Smart Claims Engine for Healthcare 8.3, security has been enhanced on a number of rules by the addition of an existing privilege “AllFlows”.
HFix-70239View complete audit details in modal window for Claims.
HFix-80451Fix for Issue with number format expression that halted orchestration.

 

Pega Smart Claims Engine for Healthcare 8.1

Required Pega Smart Claims Engine for Healthcare 8.1 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.1HFix-51129Pre-requisite hotfix for HFix manager.
HFix-52336

The adjudication enhancements include:

  • Support for Grouper level accumulation
  • Support for Benefit/Grouper family level accumulation
  • Support for Benefit/Grouper cross network accumulation
HFix-67863In Pega Smart Claims Engine for Healthcare 8.1, security has been enhanced on a number of rules by the addition of an existing privilege “AllFlows”.

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