A newly created Account in iRep is unable to be selected as a Primary Parent without syncing first.
The decoupled Data Change Request (DCR) feature is not configured correctly.
Correct the issue by following these steps:
1) Set the Data Change Request under Veeva Settings to 0 instead of blank.
2) Profiles should not have Field Level Security (FLS) to the CUSTOMER_MASTER_STATUS field on the Account Object. This is a field used when the CRM org is integrated with Network and is irrelevant if the Customer is not a Network customer.
CRM Help Documentation: Decoupled Data Change Requests
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