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PEGACSSA72V1 Exam - Question 29


Users create Insurance Coverage Requests 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, users submit the request for a review of the patient's insurance policy. Because multiple users enter requests, 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 a duplicate, 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.)

Show Answer
Correct Answer: BCD

To ensure users can identify duplicate insurance coverage requests and prevent duplicates from being written to the database, two appropriate configurations are necessary. First, configuring a duplicate search decision table and adding it to a Decision shape allows for an automated method to identify duplicates based on specific criteria such as patient name, procedure type, and procedure date. Second, adding a duplicate search step to the case lifecycle design helps in checking for duplicates dynamically during the process. These measures ensure duplicates are efficiently identified and managed within the application's workflow.

Discussion

3 comments
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skjunkieOptions: AD
Mar 8, 2020

Correct answers: A & D

skjunkie
May 24, 2020

B&C are correct, ignore my earlier comment

mountain1234
Mar 31, 2020

is this version 8 exam question?

aureliaOptions: AD
Jun 14, 2020

A and D correct