The PEGASYS managed care software solution contains the most powerful rules engine on the market today. PEGASYS manages the most complex provider contracts, multiple lines of business, and achieve the highest level of claims auto adjudication. PEGASYS is a HIPAA compliant, flexible, relational database with proven scalability to manage or service several million lives.

 

PEGASYS is currently utilized by health plans and payers including State and Federal programs, TPAs, self-administered employer groups, carve-out entities, and risk-bearing provider organizations. PEGASYS' robust functionality can deliver superior performance in key functional areas such as claim and capitation processing, and premium billing. The Royal Data Center can also customize PEGASYS for your company needs.

 

PEGASYS' flexibility allows your company to utilize Royal's integrated UM/CM solution or interface with other external software applications.