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Resolve Pend API Does Not Allow Pend Resolution on Claims List (Doc ID 2519335.1)

Last updated on DECEMBER 03, 2019

Applies to:

Oracle Health Insurance Claims Adjudication - Version 3.18.3.0.0 and later
Information in this document applies to any platform.

Goal

OHI 3.18.3

Is there any workaround for the re-designed Resolve Pend API on 3.18 which does not allow pend resolution on List of claims at once?

Though Resolve Pend Criteria SOAP Request provided in OHI 2.16 is rarely used, it does uses Resolve Pend List request more frequently however, re-designed Resolve Pend API on 3.18 does not allow pend resolution on List of claims at once. From the implementation guides we see resolve pend API allows pend resolution only in following scenarios:

1. All pend reasons on all the levels of claims resolved.
2. Specific pends resolved on all levels of claims.
3. Specific pends resolved on specific level of claim.
However no option to resolve pends on bulk claims.
This was an existing feature that was removed without any workaround unless we develop an interface (Mediator) to handle it which is not available at present.
 

Solution

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Goal
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