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50% Of The Resubmission Corrections Are Not Getting Priced By OHI (Doc ID 2652221.1)

Last updated on MARCH 26, 2020

Applies to:

Oracle Health Insurance Claims Adjudication - Version 3.19.2.0.0 and later
Information in this document applies to any platform.

Symptoms

On : 3.19.2.0.0 version, Processing

ACTUAL BEHAVIOR
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50% of the resubmission corrections are not getting priced by OHI, even though there is a PPC and price available.

In Daman , resubmission correction’s are claims-in on the existing claim. Some of the claims are not getting priced even though, price is available in OHI
• Claim submission on OHI version 19.1
• Claim resubmission on OHI version 19.2.0.1

Changes

 

Cause

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In this Document
Symptoms
Changes
Cause
Solution
References


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