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Data classes

Updated on April 26, 2021

Data Classes define the data structures for supporting information that Pega Smart Claims Engine for Healthcare uses to process work. The data classes used in Pega Smart Claims Engine for Healthcare include:

  • PegaHC-CE-Landing
  • PegaHC-CLM-BacklogStatistics
  • PegaHC-CLM-Data-Audit
  • PegaHC-CLM-Data-CostShare
  • PegaHC-CLM-Data-Measure
  • PegaHC-CLM-Data-PaymentConfirmation-Claim
  • PegaHC-CLM-Data-PaymentConfirmation-ClaimLine
  • PegaHC-CLM-Data-PaymentConfirmation-Member
  • PegaHC-CLM-Data-PaymentConfirmation-Payment
  • PegaHC-CLM-Data-PaymentConfirmation-Provider
  • PegaHC-CLM-Int-PaymentConfirmation
  • PegaHC-CLM-Int-PaymentExtract
  • PegaHC-CLM-PPE-Landing
  • PegaHC-CLM-PaymentError
  • PegaHC-Data-Accumulators
  • PegaHC-Data-Audit-ClaimAmount
  • PegaHC-Data-Audit-ClaimType
  • PegaHC-Data-Audit-Contract
  • PegaHC-Data-Audit-Member
  • PegaHC-Data-Audit-Provider
  • PegaHC-Data-Audit-Providers
  • PegaHC-Data-Audit-ProviderAmount
  • PegaHC-Data-Audit-Random
  • PegaHC-Data-BatchList
  • PegaHC-Data-Global
  • PegaHC-Data-ChangeLog
  • PegaHC-Data-ClaimHistory
  • PegaHC-Data-ClaimLineHistory
  • PegaHC-Data-Global
  • PegaHC-Data-IBNR
  • PegaHC-Data-PPECCI
  • PegaHC-Data-PPEMEE
  • PegaHC-Data-PPEMUE
  • PegaHC-Data-PerformanceConfig
  • PegaHC-Data-PerformanceRecords
  • PegaHC-Data-SubscriberLock
  • PegaHC-Data-UserMessage
  • PegaHC-Data-TCDSetting
  • PegaHC-Data-TSSetting
  • PegaHC-Data-TestClaim
  • PegaHC-Data-TestScenario
  • PegaHC-Data-TestScenario
  • PegaHC-Data-EventGroup
  • PegaHC-Portal-CE-BusinessAnalyst
  • PegaHC-Portal-CE-ClaimsExaminer
  • PegaHC-Portal-CE-ClaimsManager
  • PegaHC-Portal-CE-SystemManager
  • PegaHealth-Codes-Data-NCPDP
  • PegaHC-Data-CXT
  • PegaHealth-Codes-Data-Event
  • Mapping and Parsing rules that start with PegaX12XML

In addition, there are many claim mapping and parsing classes used to support claim receipt and processing. PegaX12 and PegaX12XML prefix these class names.

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