Paging Queue should recognize changes to the Not Wanted Before Date in Hold record
Sierra queues the hold for paging at the time the hold is placed, based on the data the hold was placed with. If the hold is modified after that (by changing the Not Wanted Before date), those changes don't update the paging queue, and Sierra will continue to page as if the hold had not been modified.
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Greg Smith commented
Unexpected system behavior resulting from this has led to wasted time at our library.