ZRG3004F: CHECK ON DUPLICATE CLAIM INCORRECT. (Doc ID 1999935.1)

Last updated on MARCH 08, 2017

Applies to:

Oracle Health Insurance Claims Management - Version 10.14.1.5 and later
Information in this document applies to any platform.

Symptoms

On production: 10.14.1.5 version, Usage

ACTUAL BEHAVIOR
---------------
ZRG3004F: Check on duplicate claim incorrect.

For the procedure (with code 09) the 'duplicate claims allowed' is set to yes. However the indicator in the DPC procedure is set to 'No'
No checks were carried out on multiple claims on the basis of this configuration


EXPECTED BEHAVIOR
-----------------------
Checks are carried out on multiple claims

STEPS
-----------------------
The issue can be reproduced at will with the following steps:
1. Procedure: Set the indicator 'duplicate claims allowed' to yes
2. DPC: Set the indicator 'double' to No


BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, duplicate claims are claimed

Cause

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