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 18.104.22.168.0 and later
Information in this document applies to any platform.
On : 22.214.171.124.0 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.
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
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