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1. MyMealth 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 work day 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?
A) Use the overall SLA to increment the pyUrgencyAssignAdjust value by 1. Reset the goal date to the following day
B) Use an advanced agent on a dedicated node to increment the pyUrgencyAssignAdjust value by 1 for every assignment that matches the selection criteria.
C) Use the assignment SLA to increment the pyUnjerncyAssiqnAdjust value by 1 every day the claim is in an open status.
D) 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.
2. a performance analysis for an equals-comparisons-only query against a table shows that it always performas a full table scan. the table has grown steadily over time. nothing has been done in the database concerning this table other than it being generated by pega.
A) limit the number of rows fetched from this table,
B) Expose one or more columns within this table.
C) alter one or more column types in the table.
D) add one or more column indexes to this table.
3. A health plan application includes a process for surgical procedure requests. Currently, there is an evaluation subprocess in which a physician reviews the diagnosis and enters the recommended procedure and its urgency. The request then advances to a medical director who analyzes the feedback and approves the appropriate procedure. The health care organization has created a new requirement, which states that three physicians can perform the evaluation independently. Only two evaluations are necessary to advance the case to the medical director.
In order to allow the three physicians to review the orders in parallel, how would you configure the process?
A) Add a Split Join shape, add a list of physicians, and call the evaluation process.
B) Add a cascading approvals shape that is called by the evaluation subprocess.
C) Add a Split For Each shape, add a list of physicians, and call the evaluation process.
D) Add a Split Join shape, add a list of physicians, and call the surgical procedure request process.
4. Select the option in which you would define Content Security Policies.
A) To configure security for the content management integration
B) To prevent the browser to load content from untrusted sources
C) To define security for case attachments
D) To restrict what data a user can view in a case the user can open
5. A queue processor is configured with the value of the Max attempts field is 4, the value of the Initial delay field is 2 minutes and the the value of the Delay factor field is 2 for processing retries.
What is the delay between the second and third attempt, assuming each previous attempt fails?
A) 8 minutes
B) 2 minutes
C) 4 minutes
D) 6 minutes
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: A,C |
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