Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.22.1.0.1

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.22.1.0.1.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 3.22.1.x is only compatible with other Oracle Health Insurance applications release version 3.22.1.x unless explicitly stated otherwise.
OHI applications expose the technical ID (created by sequence generator) in HTTP API and IP. This might be changed to an alternate technical ID (the data type might not be an integer) in a future release. Hence, it is advised to follow the generated HATEOAS links instead of hard-coding/bookmarking the IDs in the external integrations.
As per the Service Description, you are obligated to request a service upgrade within 90 days of this release being generally available (GA). In line with the Oracle Cloud Services Pillar document, Section 4.2.2 End of Life, this release will be EOL in 12 months.

Enhancements

No enhancements.

Configuration Properties

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Web Services

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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

34308649

NXT-24946

BP

In a reference property, which ever value is selected and search is performed, when we again click on dropdown, the value selected earlier is shown twice

Description:

In a reference property, which ever value is selected and search is performed, when we again click on dropdown, the value selected earlier is shown twice

Resolution:

The selected value is shown only once in reference property dropdown (lov) after search is performed

34210878

3-29482198481

NXT-24818

BP

'CLA-FL-BENS-015: No Parameter value found' error while updating copay amount on claim lines

Description:

'CLA-FL-BENS-015: No Parameter value found' error while updating copay amount on claim lines

Steps to reproduce :

  1. Create a Coverage Regime with 2 cover withhold rules. The first rule does not have any value for cover/withhold amount and Percentage.

  2. Create a Benefit Specification using the above Coverage Regime.

  3. Create a Product Benefit Specification using the above Benefit Specification and add a Rule parameter with the parameter being the Cover Withhold Category used in the first cover withhold rule for which no values have been provided.

  4. Send in a claim which uses the above Product Benefit Specification and make sure that the claim is stuck in Manual Benefits status.

  5. Try to edit a value for amount in the Claim Line Rule Coverage.

  6. 'CLA-FL-BENS-015' error is shown

Resolution:

Claim Line Rule Coverage values can now be updated when claim is in Manual Benefits status

34277752

NXT-24886

BP

'Eligibility Response Definitions' is displaying twice on searching with 'definitions' page

Description:

'Eligibility Response Definitions' is displaying twice on searching with 'definitions' page

Resolution:

Title 'Eligibility Response Definitions' is displayed only once on searching with 'definitions' page in search menu

34192166

3-29505103851

NXT-24795

BP

Processing benefit specifcation with case definition on previous product throws null pointer error

Description:

When a product is selected from history and the selected product benefit specification on the product contain case definition , then processing them throws null pointer error . Also , when there are multiple benefit specification selected on previous product and there remains more than one benefit specification after all the filters , then "duplicate coverage specification found" error is thrown . This is resolved by removing the selected benefit specification if it is from previous product and has case definition .

Resolution:

Now benefit specification selection processing should work fine .

34213525

NXT-24823

BP

Provider Pricing Clause page: Reference Sheet object navigation: Advance search is missing

Description:

Advanced search was not configured in Reference Sheet Lines Object Navigation Link for Provider Pricing Clause page.

Resolution:

Advanced search is configured in Reference Sheet Lines object navigation link in Provider Pricing Clause Page.

34190486

3-29566084431

NXT-24785

BP

Getting 'CLA-CLOV-002' error message while removing the fields related to Benefit selection override.

Description:

We are getting Error Message - 'CLA-CLOV-002' while removing the fields related to benefit selection override . . STEPS TO REPRODUCE: 1. Unfinalize a claim 2. Add Product (Benefits), coverage regime/benefit specification, family contract ID, Subscription Date 3. Do Benefits only 4. Once claim is finalized, unfinalize the claim 5. Try to remove the above fields and hit save The error comes up.

Resolution:

No error message is shown while removing the fields related to Benefit Selection Override.

34072382

3-29165734930

NXT-24566

BP

Adjudication only pend rule configured for manual adjudication step pends in manual pricing adjudication for internal benefits

Description:

Adjudication only pend rule configured for manual adjudication step pends in manual pricing adjudication instead of manual adjudication even though claim is marked for internal benefits .

Resolution:

Now claims marked for internal benefits will not pend in manual pricing adjudication if rule is configured for manual adjudication

34186805

NXT-24768

BP

The record searched upon gets cleared off after the display of the results in tab-table

Description:

Go to Countries Page. Search for any country record and open it in view mode. Click on Country Regions Tab and search for any record. The result will be displayed but the search keyword entered in quick search or advanced search components, disappears.

Resolution:

Search criteria is not cleared in quick search and advance search of tabs after the results are displayed

34275814

NXT-24884

BP

Newly added rows are not shown when you navigate from parent to child page for tab-table components

Description:

Newly added rows are not shown when you navigate from parent to child page for tab-table components in pages like Coverage regimes where there are hierarchical detail pages

Resolution:

Newly added rows are visible when moved back and forth from parent and child pages. Value updates are also persisted on the screen as updated.

34318695

3-29773346031

NXT-24972

BP

Code and description of brands are blank in ui after brands are extracted using extract ip

Description:

After extracting brands using extracts IP, when user access brands (could be through UI or API/IP), brand code and description don’t be visible but table holds these data.

Resolution:

This was JPA cache issue. When brands were extracted using IP, all brands were getting cached at L2 cache level but without translation records. Translation records hold brand code and description information as per locale.

Fixed it by avoiding caching of brands when extract IP is invoked.

34294109

3-29425889391

NXT-24922

BP

Pagination for flexcodes loops after the limit

Description:

Pagination for flex codes loops after the limit

Resolution:

All the flex code values are shown only once in the dropdown (lov) without repeats after the limit.

34307670

NXT-24938

BP

ProviderSpecialtyDomain shouldn’t be cacheable

Description:

ProviderSpecialtyDomain is cacheable, but it should not be (since provider itself is not cacheable)

Resolution:

The ProviderSpecialtyDomain has been made uncacheable.

34278699

NXT-24892

BP

Not able to search for country region value in the 'Country Region' tab table of Countries Page

Description:

Not able to perform a search in tab.

Resolution:

Search on country region is possible now in Country region tab of Countries page

Issues that were backported in previous Release / Patch

No backports.