ZRG3004F: DEDUCTIBLE AMOUNT NOT EXTRACTED FROM HOSPITAL CLAIM LINE (Doc ID 2061207.1)

Last updated on MARCH 09, 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 : 10.15.1.2.3 version, Usage

ACTUAL BEHAVIOR
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ZRG3004F: Deductible amount not extracted from hospital claim line

The deductible amount is deducted from the pro forma/shadow claim line, but it is not being deducted from the real claim lines that replace the shadow claim line.

EXPECTED BEHAVIOR
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Deducted deductible amount (the solution delivered for release 10.1.42 worked fine)

STEPS
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The issue can be reproduced at will with the following steps:
See attachment.

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, it is impossible to process hospital claim lines incorrect. Every day many of these lines need to be processed.

Cause

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