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ClaimsXten™ Implementation

Suggest edit Updated on April 26, 2021

Note: PegaClaimsCXT application comes in a separate jar “PegaClaimsCXT.jar”. Clients need to install it to get ClaimsXten functionality.

Starting from Pega Smart Claims Engine for Healthcare 8.5, Pega Smart Claims Engine for Healthcare has the capability to provide an option for the customers to choose which ClaimsXten version they want to integrate.

New application, PegaClaimsCXT contains all the required ClaimsXten rule sets.

  • PegaHCCLMCXT
  • PegaHCCLMCXTInt

PegaClaimsCXT application is built on PegaClaims application. Customers integrating with ClaimsXten need to build on top of PegaClaimsCXT from Pega Smart Claims Engine for Healthcare 8.5 onwards.

Below Application and Dynamic system settings need to be modified according to the ClaimsXten configuration.

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