ADJUDICATING A GROUP CONTRACT POLICY GIVES INCORRECT VER-04426 (Doc ID 2062564.1)

Last updated on MARCH 08, 2017

Applies to:

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

Symptoms

On test: 10.15.1.2 version, Usage (Policy)

When attempting to When adjudicating a group contract policy, an error pops up complaining about a no longer valid chosen benefit option for a member.
the following error occurs.

ERROR
-----------------------
VER-04426 The grouped option must be allowed for the group contract subgroup during the entire period and must still be allowed to be used. (#1#).


STEPS
-----------------------
The issue can be reproduced at will with the following steps:
0. Make sure that any policy created will go into the Adjudication step.
1. Create a group contract with allowed benefit answers (only 1 allowed answer per question/option).
2. Create a policy with 1 member on this group contract and finalize the policy.
3. Open the policy for modification and add 1 more member having the same answers.
4. Finalize the policy => no error, policy gets status "To adjudicate".
5. In the Adjudication screen, authorize the policy and commit. => error VER-04426.

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, users cannot Modifications to group contract policies can not be processed now.

Cause

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