Pega for claims processing
Updated March 17, 2015

Pega for claims processing

Anonymous | TrustRadius Reviewer
Score 7 out of 10
Vetted Review
Verified User

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?
The performance needs to be improved. The system is slow when it runs on limited hardware resources. Application development has a steep learning curve.

Using Pegasystems

Performance, resource availability

Pegasystems Training

The online training is an excellent one, but still it is missing hands on development.