Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.20.3.0.2

Enhancements

ID	Summary	Description	Included in Patch
NXT-20417	Retrieve Contracted Providers IP	New integration point that retrieves providers contracted to render a particular service. The request supports a combination of procedures as well as user specified filters.
NXT-21203	Provider Identifiers	This enhancement focuses on extending the ability to store one or multiple identifiers on a provider. These are used to identify the provider when processing claims and enrollment.

Summary

Description

Included in Patch

NXT-20417

Retrieve Contracted Providers IP

New integration point that retrieves providers contracted to render a particular service. The request supports a combination of procedures as well as user specified filters.

NXT-21203

Provider Identifiers

This enhancement focuses on extending the ability to store one or multiple identifiers on a provider. These are used to identify the provider when processing claims and enrollment.

Configuration Properties

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Web Services

Ref	Action	Subject	Description
NXT-21203		Provider IN, Claims IN, Policy IN	This enhancement focuses on extending the ability to store one or multiple provider identifiers on a provider.
NXT-20417		Retrieve Contracted Providers Integration Point	New integration point that retrieves providers contracted to render a particular service.

Ref

Action

Subject

Description

NXT-21203

Provider IN, Claims IN, Policy IN

This enhancement focuses on extending the ability to store one or multiple provider identifiers on a provider.

NXT-20417

Retrieve Contracted Providers Integration Point

New integration point that retrieves providers contracted to render a particular service.

Data Conversion

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Dynamic Logic

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UI Changes

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Deprecated items (to be removed in future release)

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Breaking Changes

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Bug Fixes

BugDB	SR	Internal	BP	Summary
32038887		NXT-21327	BP	Post Benefit Callouts : Tab shows count but no details in claims details page.
Description:	JET UI Tabs shows count but no details in it. User will be able to view and access the contents under the tabs like benefits, messages, pricing, pend reasons, financial holds and un-finalize reasons in the claim details page. Steps to recreate are:+ 1. Open any claim. 2. Click on messages in the claims details page. Expected - Claim and Claim line messages should show the related details.
Resolution:	Now the user will be able to view and access the contents under the tabs benefits, messages, pricing, pend reasons, financial holds and un-finalize reasons in the claim details page.
32027833		NXT-21313		Unable to navigate to Menu tabs when viewing a claim
Description:	Unable to navigate to Menu tabs when viewing a claim. Steps to recreate are: 1) Search for claims 2) Open any claim 3) Click on configuration tab Expected: User should be able to navigate Actual: User is not able to navigate
Resolution:	User is now able to navigate from claims view-edit page to other pages on different menu

BugDB

Internal

Summary

32038887

NXT-21327

Post Benefit Callouts : Tab shows count but no details in claims details page.

Description:

JET UI Tabs shows count but no details in it. User will be able to view and access the contents under the tabs like benefits, messages, pricing, pend reasons, financial holds and un-finalize reasons in the claim details page. Steps to recreate are:+ 1. Open any claim.
2. Click on messages in the claims details page.
Expected - Claim and Claim line messages should show the related details.

Resolution:

Now the user will be able to view and access the contents under the tabs benefits, messages, pricing, pend reasons, financial holds and un-finalize reasons in the claim details page.

32027833

NXT-21313

Unable to navigate to Menu tabs when viewing a claim

Description:

Unable to navigate to Menu tabs when viewing a claim. Steps to recreate are:
1) Search for claims
2) Open any claim
3) Click on configuration tab
Expected: User should be able to navigate Actual: User is not able to navigate

Resolution:

User is now able to navigate from claims view-edit page to other pages on different menu

Issues that were backported in previous Release / Patch

No backports.