Question
Deloitte
US
Last activity: 6 Mar 2025 6:54 EST
ITS 25.0 SF Format Changes - Urgent
Hello
BCBSA have published newer version of Submission Format 25.0, which has significant changes to the layout of the SF file. Attached is the updated version of SF Professional and Institutional Claim. We would like to get these changes incorporated in the ITS Claim ruleset which comes out of the box from Pega in Smart Claims Engine product.
Background on the change in v25.0 release:
With ITS v25.0 release, BCBSA has removed 174 obsolete and/or unused fields and shifted all resulting empty space to the end of each record layout which, in some cases, means that the remaining fields are also shifted to occur in a different location on the record that in previous releases.
This is critical change that we would like to incorporate in CIW by 3/14 and perform an integrated testing. Would really appreciate prompt response.
Thanks,
Sachin Ashtankar
Updated: 6 Mar 2025 6:54 EST
Pegasystems Inc.
GB
@Sachin Ashtankar please do not submit 'urgent' questions on a public product community forum.
I would ask you to log an official support INCIDENT via the MSP.
Alternatively if this is urgent you can always contact your Pega AE for further advice.
The documentation for the Pega Smart Claims Engine can be found in the Pega Smart Claims Engine Implementation Guide. This guide provides a functional business description, a technical description, and configuration and extension instructions pertinent to each feature described. You can access the guide at the following link: [Pega Smart Claims Engine Implementation Guide](https://docs.pega.com/bundle/smart-claims-engine-241/page/smart-claims-engine/implementation-guide/sce-book-main.html).
@mined @AdamGross @bhons is this a product you're aware of?