The Smart Claims Engine intakes claim transactions to support the key functionality provided through the modules being executed. The SCE provides multiple methods for getting claims into the system.

This section will detail the flow and types of claims that can be handled by the SCE along with parsing validations, reporting and any pre-work that is performed prior to the adjudication of the claim.

• Claim receipts and format
• Claim file processing
• Claim API integration
• Manual claims creation

• Pega Smart Claims Engine User Guide