Transaction Detail is Missing Currency

(Doc ID 2315697.1)

Last updated on OCTOBER 09, 2017

Applies to:

Oracle Health Insurance Claims Adjudication - Version 2.17.2.0.0 and later
Information in this document applies to any platform.

Symptoms

In OHI Claims Adjudication, when asking for the current claim from the ClaimTransactionService, the transaction detail for the covered correctly contains the amount but is lacking the currency for that amount.

A claim is entered and processed, which results in a payment. The claim can be retrieved using the SOAP IP http://:/ohi-ws-ctrclaimsout/ClaimTransactionService. The method called for is current claim. The IP returns in its response the finalized claim including the financial transaction details of the covered amount. However, although the amount is correct, the currency is missing. Here is the relevant part of response:

 
componentCode="COVERED_AMOUNT"
amount="5670"
numberOfUnits="1"
productBrandCode="LH"
productCode="LSCL"
accountDetailGrouping="N"
invoiceDestination="R"
invoice="Y"
invoiceLineGrouping="N"
counterpartyQualifier="PROVIDER"
counterpartyCode="0069124">
 

The amount (5670) is included in the tag , but the necessary currency is missing.

EXPECTED BEHAVIOR
-----------------------
Using the same piece of XML as above the expected result is:

componentCode="COVERED_AMOUNT"
amount="5670"
currency="LSL"
numberOfUnits="1"
productBrandCode="LH"
productCode="LSCL"
accountDetailGrouping="N"
invoiceDestination="R"
invoice="Y"
invoiceLineGrouping="N"
counterpartyQualifier="PROVIDER"
counterpartyCode="0069124">
 

This includes the attribute "currency" in the tag.


Customers file claims in different currencies. One of the processes automatically receives and submits the claim and returns the submitter of the claim the result and the expected payment. This payment must of course contain the correct currency.

Changes

 

Cause

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