ZRG3004F: CLAIM ERROR F-DVW0979 DOES NOT OCCUR WHERE IT SHOULD (Doc ID 2059529.1)

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 version, Usage

Testing bug 21355313

When attempting to process a credit claim in ZRG3004F,
the following error does NOT occur.

ERROR
-----------------------
F-DVW0979 This credit line has been disapproved because a credit line has not been provided for all debit claim lines that belong to the same procedure.
Is should have appeared since not for all debit claim lines a credit line is submitted.

STEPS
-----------------------
The issue can be reproduced at will with the following steps:
1. ZRG8045I: Import a hospital care claim
2. ZRG3004F: Process this debit claim with two claim lines that belong together
3. Finalize this claim
4. ZRG8045I: Import a hospital care credit claim, with only one claim line
5. ZRG3004F: Process this credit claim and notice that error 0979 does not occur and the debit claim line is credited

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, users are confronted with incorrect credited claim costs.

Cause

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