ZRG3044S (ZRG8135I): No Return Code for Claim Error 0108 (Doc ID 2094132.1)

Last updated on JANUARY 05, 2016

Applies to:

Oracle Health Insurance Claims Management - Version 10.15.1.4 and later
Information in this document applies to any platform.

Symptoms

On acceptance: 10.15.1.4 version, Usage

Testing bug 21972313

When attempting to run ZRG3044S (ZRG8135I) for creating the EI return file for a finalized pharmacy claim,
the following error occurs.

ERROR
-----------------------
For claim error 0108 (For this claim line a zero tariff applies.) no return code is included in the return file.
It was expected that return code 0611 was returned, as delivered with bug 21972313.

STEPS
-----------------------
The issue can be reproduced at will with the following steps:
1. ZRG8035I: Import claim
2. ZRG3004F: Process claim and notice claim error 0108 on the claim line due to a zero tariff
3. ZRG3012S: Finalize claim
4. ZRG3044S (ZRG8135I): Create EI return file and notice a missing procedure record for the claim line

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, users cannot submit correct claim return files to Vecozo to inform providers.

Cause

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