Case Study

GAINING CLAIMS AGILITY AND EFFICIENCIES

GAINING CLAIMS AGILITY AND EFFICIENCIES

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1 1 GAINING CLAIMS AGILITY AND EFFICIENCIES COST & TIME TO MARKET/COMPLIANCE DRASTICALLY REDUCED “We are able to change much more quickly in Pega. Right now, to write a modification to a rule takes just 5 hours to code, document and user test that change in Pega.” Enterprise Architect Small BCBS Plan BUSINESS GOALS ? Improve Claims First Pass Rate from 60% after moving to Facets System. ? Automate claims processing across fo

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