Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.21.3.0.4
This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.21.3.0.4.
Enhancements
ID | Summary | Description | Included in Patch |
---|---|---|---|
NXT-21416 |
Use Vault as alternative secrets store with WebLogic deployments |
Next to Fusion Middleware / WebLogic Oracle Platform Security Services (OPSS), OHI applications also support HashiCorp Vault as alternative secrets store. See the Installation Guide for details. |
|
NXT-23140 |
Episode recognition: Allow overlapping episodes of same type and allow start date end date updates at inclusion |
This enhancement allows for overlapping episodes for a member, episode definition, and time validity. New attributes episode identifier is added to episode and claim line. The system matches the identifier on the claim line to the identifier on the episode to find an existing episode for a member/definition combination within the time span of the claim line. The identifier on the episode is set by function dynamic logic specified on the episode definition (new signature) which is triggered during episode creation via the claims processing. It also allows for the episode end date to be updated at the inclusion of a claim line |
Configuration Properties
Ref | Action | Subject | Description |
---|---|---|---|
NXT-21416 |
Added |
ohi.vault.clientkeypemfile.url |
URL to Vault Client Key pem file |
NXT-21416 |
Added |
ohi.vault.address |
Vault address. Must use HTTPS |
NXT-21416 |
Added |
ohi.vault.jkskeystore.password |
Password for JKS keystore that contains certificates |
NXT-21416 |
Added |
ohi.vault.clientpemfile.url |
URL to Vault Client pem file |
NXT-21416 |
Added |
ohi.secure.secrets.store |
The type of store the OHI application uses for secrets |
NXT-21416 |
Added |
ohi.vault.kv.secrets.engine |
By default, OHI applications assume that Vault’s Key-Value secrets engine is enabled at root path "secret" |
NXT-21416 |
Added |
ohi.vault.pemfile.url |
URL to Vault pem file |
NXT-21416 |
Added |
ohi.vault.namespace |
OHI specific Vault namespace section, under the path determined by properties ohi.vault.kv.secrets.engine/ohi.vault.namespace to look for secrets |
NXT-21416 |
Added |
ohi.vault.token |
Vault token |
NXT-21416 |
Added |
ohi.vault.truststore.url |
URL to truststore that contains certificates |
NXT-21416 |
Added |
ohi.vault.jkskeystore.url |
URL to JKS keystore that contains certificates |
Web Services
Ref | Action | Subject | Description |
---|---|---|---|
NXT-23140 |
Modified |
CL0155 |
Modified Claims In IP to allow setting of episodeIdentifier at claim line level |
NXT-23140 |
Modified |
CL0156 |
Modified Claims Update IP to allow setting of episodeIdentifier at claim line level |
Dynamic Logic
Ref | Action | Subject | Description |
---|---|---|---|
NXT-23140 |
Added |
Episode Identifier |
Added new dynamic logic to generate new episode identifier. |
NXT-23140 |
Modified |
Transaction Scenario (Claim Line) |
Added line ctrClaimLine.episodeIdentifier=claimLine.episodeIdentifier |
Breaking Changes
Ref | Action | Subject | Description |
---|---|---|---|
NXT-23140 |
Modified |
Episode (End Date) |
Changed input variable name of dynamic logic signature from triggeringLine to claimLine |
NXT-23140 |
Removed |
CL0147 |
Removed Episode IP. Episode API can be used for same purpose now |
Bug Fixes
BugDB | SR | Internal | BP | Summary |
---|---|---|---|---|
33009404 |
3-26178292391 |
NXT-22819 |
End benefits callout does not execute after manual benefit pend reason reason was accepted. |
|
Description: |
End benefits callout does not execute after manual benefit pend reason reason was accepted. |
|||
Resolution: |
End Benefits Callout will be executed after manual benefits pend reason was accepted. |
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33587269 |
NXT-23836 |
BP |
Boilerplate texts are not loading for some of the timestamp formats. |
|
Description: |
Boilerplate texts were not loading when provided timestamp was in different formats. |
|||
Resolution: |
Fix was made to load boilerplate texts for different timestamp formats. |
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33641627 |
3-27463122071 |
NXT-23923 |
BP |
Removing column URI from OHI_BOOKMARK_UK1 |
Description: |
In 3.21.3.0.0 unique constraint OHI_BOOKMARK_UK1 was created on the combination of user preferences, alias and URI of the bookmark. The URI column should be removed from the constraint. |
|||
Resolution: |
The attribute URI is removed from the Unique Key on Bookmarks. |
|||
33665412 |
NXT-23968 |
When a custom floorplan is enabled to show dynamic record as a tab, the table is not getting displayed when clicked on add button and resolve button is not showing up in claims pend reason tab. |
||
Description: |
When a custom floorplan is enabled to show dynamic record as a tab, the table is not getting displayed when clicked on add button and resolve button is not showing up in claims pend reason tab |
|||
Resolution: |
User will be able to configure custom floorplans to show dynamic record as a tab. |
|||
33667830 |
NXT-23975 |
BP |
Page is not getting redirected to View-Edit page after successfully creating Claim using custom floorplan |
|
Description: |
When user is having multiple floorplans available, and creates a claim using any of the floorplan, then the page is not getting redirected to view-edit page after successful creation. |
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Resolution: |
User will be redirected to claim view-edit page upon successful creation of a new claim using any of the floorplan available. |
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33667835 |
NXT-23976 |
BP |
Create claim is not loaded with the selected floorplan when multiple floorplans are available through Create Claim tile. |
|
Description: |
User is having multiple HRR floorplans configured for Claim page. When user tries to create a claim through "Create Claim" tile, user will be shown with available floorplans in a dropdown for choosing. For whatever selection the user makes, it will be loading only the first floorplan available in the aforementioned list. |
|||
Resolution: |
User will be able to select floorplan to be shown in Claims create page. |
|||
33667849 |
NXT-23977 |
BP |
Claims page is stuck after creating new claim and when multiple floorplans are available |
|
Description: |
Once after creating a claim, page gets stuck and user is not able to navigate out of the page. |
|||
Resolution: |
Upon successful creation of a claim, user will be redirected to the view-edit page where user will be able to navigate out of the page. |