Pega for claims processing
Updated March 17, 2015
Pega for claims processing
Software Version
PRPC 6.2
Modules Used
- Healthcare Framework
Overall Satisfaction with Pegasystems
We use Pega solutions to automate our claims processing systems and claims adjudication.
- Pega has a variety of products to support claims processing; we use as a rules engine which helps us to drive our own business rules and make it as a complete rules processing system
- It does provide health care frameworks, which comes up with pre-configured rules and decision making systems
- The versioning and code repository is big plus with Pega as we do not depend on external versioning tool
- The rule comparison is nice to have, but currently we don't have ability to compare one rule with a previous version to see the differences
- To delete multiple steps in an activity in one single click
- The documentation is not clear, sometimes it is missing key elements or has incorrect information
- Better customer service.
How does Pegasystems stack up against SharePoint?