ZRG3004F: Deductible Counted More Than Once When Using Pro Forma Claims (Doc ID 2105168.1)

Last updated on FEBRUARY 10, 2016

Applies to:

Oracle Health Insurance Claims Management - Version 10.15.2.3 and later
Information in this document applies to any platform.

Symptoms

On acceptance: 10.15.2.3 version, Usage

Testing BUG 22390852

When processing claims in ZRG3004F:

ACTUAL BEHAVIOR
---------------
The deductible is being withdrawn for every coverage involved.

EXPECTED BEHAVIOR
-----------------------
The deductible should only be withdrawn once.

STEPS
-----------------------
The issue can be reproduced at will with the following steps:
1. Create a case, containing a deductible
2. Create a claim line for coverage 'X'
3. Create a claim line for coverage 'Y'
4. Process the claim.

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
Due to this issue, it is impossible to process claims line related a same case, using different coverage (benefit hierarchies).

Cause

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