ZRG3004F: Error F-dvw0202 Raised Incorrectly (M-4383) (Doc ID 2099185.1)

Last updated on FEBRUARY 18, 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 production: 10.15.1.4 version, Usage

M-4383

When attempting to process a pharmacy claim in ZRG3004F,
the following error occurs.

ERROR
-----------------------
F-DVW0202: Relation is not insured.
This error occurs on the claim line with procedure code list 058 and/or 060, in case the medicine has a zero tariff and no claim coverage is created for the medicine.
Instead of

STEPS
-----------------------
The issue can be reproduced at will with the following steps:
1. ZRG1212F: Configure only coverage for medication (procedure X)
2. ZRG8050E: Import and process claim with 3 claim lines: procedure X and procedure Y (procedure code list 058) and procedure Z (procedure code list 058)
3. ZRG3004F: Process these 3 claim lines and notice that for the claim lines with procedures Y and/or Z error 0202 is raised.

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, users cannot correctly process these claims.

Cause

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