The following diagram shows the key feature groups that make up the Smart Claims Engine.

A summary of the capabilities is detailed in this section, but more detail on each of the explicit capabilities, how they are configured and utilized are found in the appropriate sections of this user guide.

• Claims operations and inventory management
• Intake
• Pre-adjudication
• Business rules and edits
• Process control and configuration
• Coverage determination
• Pricing
• Adjudication
• Finalization
• Payment
• Accumulator management

• Overview