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OHI 3.18: Fee Schedule Update Terminating Lines Incorrectly (Doc ID 2523285.1)

Last updated on SEPTEMBER 20, 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 : 3.18.3.0.4 version, Integration Points
Fee Schedule IP


Fee Schedule update request is terminating lines incorrectly. Please find a scenario below:

Fee Schedule - 'TEST_FS_2' was loaded by sending feeScheduleRequest to OHI 3.18 instance for Line with Modifier - 'TC' with startdate 1/1/2017.

An update to Fee Schedule - 'TEST_FS_2' was sent using feeScheduleProcedureRequest to add a new line with modifier - '25' with startdate 2/1/2018. However this request is also terminating original line with modifier - 'TC' with 01/31/2018 end date which is not correct.

Attached excel with copy of records.

Fee Schedule updates to insert new line for new modifier should not terminate already existing line for another modifier.


The issue can be reproduced at will with the following steps:

Send attached feeScheduleRequest to Fee schdule IP (feeScheduleRequest.xml)
then send attached feeScheduleProcedureRequest to fee schedule IP (feeScheduleProcedureRequest.xml)


Cause

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In this Document
Symptoms
Cause
Solution


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