Pegasystems Related Exams
PEGACPSA88V1 Exam
An insurance claim case type is defined as follows:

If the Review claim step is configured to set the status to Pending-Investigation, when is the status of the case set to Pending-Investigation?
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Users create Insurance Coverage Request Cases to authorize insurance payments. Users
enter information that includes the name of the patient, the date of the procedure and the type of the procedure. After entering the information, user submits the request for a review of the patient's insurance policy. Because multiple users enter requests, duplicate request can occur. A request is considered a duplicate if the patient name, procedure type, procedure date match an existing request. You have been given two requirements:
- Ensure that users can identify duplicate requests.
- If a case is duplicate, it is not written to the database. Otherwise, write the case to the database.
Which two options configure application so that users can identify duplicate requests? (Choose two)
Which two statements are true about insights? (Choose two.)
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