Enhancement to Apply Visit Limit Across Networks (Doc ID 2245593.1)

Last updated on MARCH 19, 2017

Applies to:

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

Goal

Requesting an enhancement that allows configuration for a visit limit to cross apply between networks and also take into account different breaks in copays at a predetermined number of visits.
 

Solution

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