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ZRG3004F: NO CHECK ON ASSOCIATED CLAIM LINES (Doc ID 2052482.1)

Last updated on MARCH 08, 2017

Applies to:

Oracle Health Insurance Claims Management - Version 10.15.1.2 and later
Information in this document applies to any platform.

Symptoms

On acceptance 10.15.1.2.2 version, Usage claims
Testing M-4186

ACTUAL BEHAVIOR
---------------
ZRG3004F: No check on associated claim lines

If the current claim line has been rejected, a search has to be made for associated claim lines that have not been rejected within the same claim.
These non-rejected claim lines are not committed with a fatal message.
 
EXPECTED BEHAVIOR
-----------------------
Non-rejected claim lines are committed with a fatal message

STEPS
-----------------------
The issue can be reproduced at will with the following steps:
1. Process claim with an associated claim that is rejected

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, incorrect payments will be made for these claims

Cause

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In this Document
Symptoms
Cause
Solution
References


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