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ER: Single Call to Support Remittance Advice (RA) Creation (Doc ID 2469312.1)

Last updated on MARCH 25, 2019

Applies to:

Oracle Health Insurance Claims Adjudication - Version 3.18.1.0.0 and later
Information in this document applies to any platform.

Goal

ENHANCEMENT REQUEST:
=====================
On :  3.18.1.0.0 version, Processing
In order to create RA’s (Remittance Advice) from information stored in OHI Claims, the current process involves two queries of OHI Cliams to retrieve the needed information.

Step 1: Execute a (SQL) query to get all claim transactions for the invoice
Step 2: For each claim, retrieve the transaction details (API)

It would be more efficient to get all the appropriate details in a single query.

This is a very low priority as the current process works.  This is requested to enhance the process.

Solution

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In this Document
Goal
Solution
References


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