View and Update Discrepancies
In the Common Financial Clearance interface, if any differences exist between the information submitted in the request and the information the payer has on file, a discrepancy alert is displayed. Information contained in Oracle Health Patient Administration is displayed in the Current row,while the response from the payer is displayed in the Response row.
- To update Oracle Health Patient Administration with the data received from the payer, select Accept.
- To reject the discrepancy, select Reject and the information is not updated in Oracle Health Patient Administration.
- To change the previous action of Accept or Reject, select Editand select Reset to override the previous selection.
- Open the Eligibility Details dialog box. The number of discrepancies is displayed.
- View Discrepancies and determine if one or more of the following discrepancies exist:
- Health Plan
- Patient Name
- Birth Date
- Gender
- Member ID
- Group Number
- Group Name
- If a discrepancy exists, review the information and select Accept or Reject. When all discrepancies are resolved, the following message is displayed: All discrepancies resolved.
- If you select Accept, the information is displayed in the health plan information in Oracle Health Patient Administration.
- If you select Reject, the information from the payer is not displayed in Oracle Health Patient Administration, but is still displayed on the eligibility response.
Parent topic: Eligibility Management