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Pegasystems PEGACPSA23V1 Exam - Topic 4 Question 44 Discussion
Topic #: 4
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, the user submits the request for a review of the patient's insurance policy. Because multiple users enter requests, the duplicate requests can occur. A request is considered a duplicate if the patient name, procedure type, and procedure date match an existing request. You have been given two requirements:
Ensure that users can identify duplicate requests. If a case is duplicated, it is not written to the database. Otherwise, write the case to the database. Which two options configure the application so that users can identify duplicate requests? (Choose two)
To prevent duplicate insurance coverage request cases from being entered into the database, the following configurations would be appropriate:
A . Add a duplicate search step to the case life cycle design. This step is integrated into the case life cycle to automatically check for duplicates at a specific point in the case processing, typically before the data is submitted for further processing or saved to the database.
B . Configure a duplicate search decision table and add it to a Decision shape. This approach uses a decision table to define the criteria for what constitutes a duplicate (e.g., matching patient name, procedure type, and date). The decision shape then uses this table to determine if the current case is a duplicate, preventing it from proceeding if it is.
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