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Technical overview

Updated on June 21, 2022

Review the flow action, data transform rule, and decision table configuration changes related to the On-Us transaction eligibility.

Pega Foundation for Healthcare

InvokeTalkOff flow action

Use the InvokeTalkOff and QualifyFraudDisputes flow actions to evaluate post qualify fraud disputes after execution.

EvaluateOnus data transform

The EvaluateOnus data transform is used to set the On-Us eligibility flag post evaluation of the business rules in the EvaluateOnUs decision table for Dispute Multiple Transactions (DMT) and Dispute Single Transaction (DST) process.

The following figure shows a sample configuration of the EvaluateOnus data transform.

EvaluateOnus data transform
The Definition tab of the EvaluateOnus data transform set the configuration to evaluate On-Us eligibility.

EvaluateOnUs decision table

The EvaluateOnUs decision table is configured with the conditions on dispute amount and dispute reason field values so that the user can set the required values and evaluate the On-Us transaction.

The following figure shows a sample configuration of the EvaluateOnUs decision table.

EvaluateOnUs decision table
The Table tab of the EvaluateOnUs decision table is configured with conditions and the return value based on the conditions to evaluate On-Us transaction.

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