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Claimstransactionoutresponse Sending "F" Instead of "Finalized" (Doc ID 2535320.1)

Last updated on MAY 02, 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

The request is:
http://<hostname>:80/api/claims/transactionout/190101M25Q07/all?finalizedonly=N&reversaloption=I&datefrom=2010-03-29&dateto=2019-03-29
 
{
  "claimList": [
  {
  "code": "190101M25Q07",
  "ctrClaimList": [
  {
  "UDP_SUBM_MB_NBR": "HP561383900",
  "claimFrequencyTypeCode": "1",
  "UDP_SUBM_DOB_DT": "<DOB>",
  "UDP_SUBM_RNDR_PV_STATE_CD": "ME",
  "UDP_SUBM_RNDR_PV_NPI_NBR": "1578561478",
  "UDP_SUBM_RNDR_PV_TAX_ID_NBR": "<ssn>",
  "UDP_SUBM_RNDR_PV_LAST_NM": "OPTION CARE BEDFORD",
  "UDP_SUBM_BILL_PV_LAST_NM": "OPTION CARE BEDFORD",
  "UDP_SUBM_MB_FRST_NM": "<firstname>",
  "UDP_SUBM_BILL_PV_CITY_NM": "<cityname>",
  "UDP_CL_ORIG_PV_PICK_NBR": "702128",
  "UDP_EM_AS_MB_IND": "N",
  "UDP_PRC_PAYEE_PAY_TO_CD": "G",
  "claimFrequencyTypeDesc": "Admit through discharge claim",
  "UDP_ORIG_

Expecting the same returned status codes as  experienced in 2.16



Changes

 

Cause

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In this Document
Symptoms
Changes
Cause
Solution
References


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