Presentation

PW 2013 Presentation: Continuous Claim Improvement Panel

In the increasingly competitive and fast-paced healthcare marketplace, these respected health plans have leveraged Pega as a catalyst for enterprise-wide transformation while leveraging the core value of their legacy application suites. Moderated by Blue Cross and Blue Shield of North Carolina, this panel includes insight from each plan regarding their claims automation efforts and how they have been successful in wrapping and renewing their legacy claims processing system with Pega to deliver dynamic new applications and address healthcare reform.

  • How healthcare organizations can use Pegasystems to extend the life and value of claims processing systems
  • How mandated changes in the claims arena can be efficiently handled
  • Why health plans find Pega to be highly effective in addressing core administrative systems' shortcomings

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