ZRGg3004F: Claim Error 0057 Expected, but not Raised

(Doc ID 1934935.1)

Last updated on MARCH 09, 2017

Applies to:

Oracle Health Insurance Claims Management - Version 2012.03.5 and later
Information in this document applies to any platform.


On production: 2012.03.5 version, Usage

When attempting to ,
the following error NOT occurs.

DZV-0057 The claimant may not claim for this relation.

This error message is expected, since this condition does not apply:
"The claimant appears in the role of insured member and as such takes part in or is policyholder of a policy associated with a policy which the insured member of the claim line participates;"

The issue can be reproduced at will with the following steps:
1. Process claim line for insured member with start date that is not within the period of the membership on the policy of the claimant.

The issue has the following business impact:
Due to this issue, claims are being payed incorrectly.


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