QUESTION: 13

MyHealth Corporation wants to use the age of the claim to increase the urgency on the assignment so that claims processors work on the most urgent claims first. The claim assignment urgency increases by 1 each day the claim remains in an unresolved status. At any time. My Health has up to 10,000 claims in process. Claims in the PendingProcessing workbasket are subject to this calculation. The application updates the claim urgency daily before the workday begins. AM claims are processed within 30 days.
MyHealth also processes complaint cases from health plan members. Complaint cases use a service level agreement (SLA) to ensure the customer service representatives respond to complaints within 48 hours. All claims’ processors work in Los Angeles 9:00 AM-5:OQ PM PST.

Which approach satisfies the claim urgency requirement and provides the best experience for the claims processor?

Use an advanced agent on a dedicated node to increment the pyUrgencyAssignAdjust value by 1 for every assignment that matches the selection criteria.
Use the assignment SLA to increment the pyUnjerncyAssiqnAdjust value by 1 every day the claim is in an open status.
Use a declare expression to increment the pytJrgcncyAsp/gnAdjur.t value to 1. When a claim processor opens the assignment, the urgency is increased by 1.
Use the overall SLA to increment the pyUrgencyAssignAdjust value by 1. Reset the goal date to the following day.

Answer(s): A

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QUESTION: 14

While configuring GetNextWork, overriding the System Settings rule GetNextWork WorkBasketUrgencyThreshold imposes a minimum cutoff value for assignment urgency.
Which statement accurately depicts the system behavior when the GetNextWork_WorkBaseketUrgencyThreshold setting is overridden?

The override ignores other criteria in GetNextWork.
The override causes the application to revisit workbaskets for assignments with lower urgency.
The override causes a search of only those assignments with the urgency higher than the threshold value.
The override causes a search of all assignments in a work queue that equal or exceed the set urgency threshold.

Answer(s): D

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QUESTION: 15

You need to create custom workspaces for the manager and for the Customer service representative (CSR), Also, you are asked to display some properties in custom formats that are not supported by Pega. Which approach satisfies these requirements?

Each access group can use separate portals, harnesses, and sections. Use Specialty Components and use XML to pass data.
Level age the Case Manager and Case Worker as reference points to create new portals, if required. Use Special Components and use JSON to pass data.
Create different harnesses for each user's workspace. New portal rules are not needed. Define Specialty Components and use JSON to pass data.
Identify the functionality required for each portal. Customize the portal either by modifying the section or harness. Use Specialty Components and use XML to pass data.

Answer(s): C

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QUESTION: 16

You want to avoid creating unnecessary case-related properties and views. Which three actions do you take to accomplish this goal? (Choose Three)

Define most of the properties and sections at the work pool level.
Create a data type (if required) that corresponds to the case type.
Use the data reference field type in a case type's data model tab.
Drag and-drop a field group when defining a case view.
Define case type views using ".page.property" syntax.

Answer(s): B,C,D

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