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Non-matched Provider Fields Are Not Cleared Out on REST ClaimsIn (Doc ID 2522252.1)

Last updated on OCTOBER 10, 2019

Applies to:

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

Symptoms

On :  3.18.3.0.0 version, Integration Points


A claim that was send in the REST claimsIn IP with non matched provider data cannot be corrected with the REST claimsIn.
The provider references are corrected but the non-matched fields remain populated, so message CLA-FL-PPRI-006 is raised.
The expected result is that message CLA-FL-PPRI-006 is not raised if the reference to the provider is populated.

ERROR
-----------------------
CLA-FL-PPRI-006 The Servicing Provider is not matched
CLA-FL-PPRI-006 The Entity Code is not matched
CLA-FL-PPRI-006 The Claimant is not matched

Changes

 

Cause

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In this Document
Symptoms
Changes
Cause
Solution
References


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