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Fatal Message CLA-FL-BENS-029 (Doc ID 2729984.1)

Last updated on NOVEMBER 19, 2020

Applies to:

Oracle Health Insurance Claims Adjudication - Version 3.19.3.0.0 and later
Information in this document applies to any platform.

Goal

Provider groups are defined in Policy Product level. When a claim/reservation is processed, the enrollment response has these provider group details. But the claim/reservation is getting rejected with the message CLA-FL-BENS-029. But if we manually add the provider group to the product provider group in claims, then the claim will apply benefit rules.

Solution

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In this Document
Goal
Solution
References


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