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List of standard business scenarios from the JLN process matrix (Joint Learning Network Report 2012)
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Business Processes
Core
Processes
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Assign beneficiary to a Primary Care Provider (PCP) or primary care unit
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Eligibility inquiry by provider
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Eligibility inquiry by beneficiary
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Supportive
Processes
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Manage costs of catastrophic cases
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Identify chronic disease management cases
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Enroll into chronic disease management programs
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Monitor chronic disease management cases
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Pharmacy benefits management PBM
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Manage medical loss ratio (MLR)
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[1] https://www.softwaretestinghelp.com/what-is-business-process-testing-bpt/
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