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Coverage Tier Not Displaying Correctly (Doc ID 2613414.1)

Last updated on NOVEMBER 25, 2019

Applies to:

Oracle Financial Services Revenue Management and Billing - Version 2.8.0.0.0 and later
Information in this document applies to any platform.

Symptoms

On RMB v2.8.0.0.0, Coverage Tier not displaying correctly in Bill Segment.
Two scenarios tested where coverage tier changed effective in the past. Incorrect coverage tier is displayed.

Scenario 1:
Add Member to a Plan with Coverage Tier effective 05-01-2019 and Value E. Generate Billable charge and Completed Bill.
Update Membership Information and add another Coverage Tier Characteristic with same effective date and value ES.

ACTUAL BEHAVIOR
------------------------------
Bill Information Page, Bill Segment zone is showing incorrect value for Coverage Tier column for the reversal amount.

EXPECTED BEHAVIOR
-----------------------------------
Bill Information Page, Bill Segment zone should show correct Coverage Tier value for the reversal amount. Value should be Employee instead of Employee + Spouse

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

1. Add Membership to a Plan. Member is added effective 05-01-2019 with Coverage Tier = E
2. Audit Event created.
3. Run C1-REPC1, C1-REPC2, C1-FIBCR to generate billable charge and Bill with bill date 05-01-2019
4. Update Membership information to add another Coverage Tier characteristic with new value. Coverage Tier = ES.
5. Audit Event created for change
6. Run C1-REPC1, C1-REPC2, C1-FIBCR to generate billable charge
7. First billable charge is cancelled. New billable charge created
8. Generate Bill with bill date 07-01-2019. Bill Information Page, Bill Segment zone is showing correct values and amount

Scenario 2:
Add Member to a Plan with Coverage Tier effective 01-01-2019 and Value E. Generate Billable charge and Completed Bill.
Update Membership Information and add two Coverage Tier Characteristic with effective date as 02-01-2019, value ES and another Coverage Tier Characteristic with effective date as 04-01-2019, value FAM

ACTUAL BEHAVIOR
------------------------------
Bill Information Page, Bill Segment zone is showing incorrect value for Coverage Tier column.

EXPECTED BEHAVIOR
-----------------------------------
Bill Information Page, Bill Segment zone should show correct Coverage Tier value. Value should be Employee instead of Employee + Spouse when the updated Bill is not generated after updating the Coverage Tier on Membership.

STEPS
-----------------------
1. Add Membership to a Plan. Member is added effective 01-01-2019 with Coverage Tier = E
2. Audit Event created.
3. Run C1-REPC1, C1-REPC2, C1-FIBCR to generate billable charge and Bill with bill date 03-31-2019
4. Update Membership information to add another Coverage Tier characteristic with new value. Coverage Tier = ES. And Coverage Tier = FAM
5. Audit Event created for change
6. Run C1-REPC1, C1-REPC2, C1-FIBCR to generate billable charge
7. Billable charge for 02-01-2019 to 02-28-2019, 03-01-2019 to 03-31-2019 and 04-01-2019 to 04-30-2019 are cancelled. New billable charges are created with Billable Charge date 02-01-2019 to 03-31-2019 and 04-01-2019 to 04-30-2020.
8. Generate Bill with bill date 03-31-2019

BUSINESS IMPACT
-----------------------
The issue has the following business impact:
User consider the behaviors as a show stopper for a critical milestone

Cause

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In this Document
Symptoms
Cause
Solution
References


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