Claim Events not Triggering upon Re-processing (Doc ID 2194135.1)

Last updated on OCTOBER 24, 2016

Applies to:

Oracle Health Insurance Claims Adjudication - Version 2.14.2 and later
Information in this document applies to any platform.

Symptoms

On :  2.14.2 version, Processing

ACTUAL BEHAVIOR  
---------------

OHI Claims Adjucation, claim events are not triggering when a re-processing request is sent thru OHI re-processing integration point to OHI with pend reason attached to the request.

EXPECTED BEHAVIOR
-----------------------
OHI should always trigger claim event if re-processed thru OHI re-processing integration point.


STEPS
-----------------------
The issue can be reproduced at will with the following steps:
Step1: Find "Finalized" claims in OHI.
Step2: Re-process those claims thru re-processing integration point having pend reason in the request message.

Changes

 

Cause

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