Procedure Groups

A procedure group is a way of bundling procedures. Procedure groups are created and maintained in OHI Claims Adjudication and Pricing. The product building blocks integration point imports procedure groups into Oracle Health Insurance Product Definition. Procedure groups therefore do not have their own page in Oracle Health Insurance Product Definition and cannot be deleted or modified. A user has the option to select a procedure group from a list of values when creating a service definition.

Procedure Group

A procedure group represents a number of bundled procedures. The purpose of a procedure group is to support re-usability in the context of product and adjudication related setup. A procedure group has the following attributes:

Procedure Group

Field Description

Code

The unique code for this group.

Description

The description for this group