This section provides information and detailed descriptions of SCE functionality as it relates to claims operations, including manual claim entry, claims search, member search, claim resolution and claim adjustments.

• Manual claim entry
• Claim and claim line status
• Claims search
• Member search
• Claim resolution
• Manually splitting claims and claim lines
• Manual claim adjustments
• Mass adjustments - adjust, reprocess, void/cancel
• Notifications
• Mass transfer
• Claim inquiry
• Related claims

• Pega Smart Claims Engine User Guide