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Streamlined solutions for healthcare payers

Offer seamless member-centric care

Drive proactive, efficient experiences at every stage of the health journey using Pega’s unified platform. AI and automation streamline workflows so teams can offer more personalized, effective, holistic experiences that improve both health and business outcomes. Processes that are more member-centric let you stay on top of what employees and members need, in real time.

Featured customers

Elevance Health
Elevance Health personalizes member experiences across silos
enGen logo
Highmark Health Services streamlines care for better member outcomes
Healthfirst
Healthfirst simplifies membership onboarding during the pandemic

Personalized engagement

Treat each member with care

How we do it

Learn how Bupa is delivering hyper-personalization
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Customer service

Simplify every experience

How we do it

Learn more

Streamline operations

Seamlessly connect systems

How we do it

Learn more
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Orchestrated care management

Bridge gaps in care

How we do it

Read Molina Healthcare’s journey to improved user experiences

Onboarding & enrollment

Build loyalty from the start

How we do it

See how Bradesco Saúde transformed onboarding
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Robust claim management

Streamline operations for all

How we do it

See how Elevance Health processes 40 million claims monthly
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