Fatal Message CLA-FL-BENS-029
(Doc ID 2730890.1)
Last updated on NOVEMBER 24, 2020
Applies to:Oracle Health Insurance Claims Adjudication - Version 126.96.36.199.0 and later
Information in this document applies to any platform.
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.
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