Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.22.1.0.8

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.22.1.0.8.

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

ID Summary Patch

NXT-25547

Episode Recognition for claim lines with unspecified Episode Identifiers

This enhancement allows for unspecified claim line identifier as long as a unique non-void episode for the eligible episode definition, the member and which overlaps in the time validity with the claim line exists. The line gets included in the episode if it satisfies the trigger/include criteria given by the episode definition.

The claim line with the identifier gets included in the episode only if the claim line identifier matches the episode identifier (in addition to the criteria match).

3.22.2.0.0

Configuration Properties

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Web Services

Ref Action Description

NXT-25547

Modified

Episode generic API

If episodeIdentifier isn’t passed in /generic/episodes API http request, episodeIdentifier is set to episode ID

Data Conversion

Ref Action Description

NXT-25547

Added

Data conversion of Episode Identifier

In CLA_EPISODES table, null EPISODE_IDENTIFIER is set to ID

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

Ref Action Description

NXT-25547

Modified

episodeIdentifier is mandatory

In Episode, episodeIdentifier is mandatory. If not provided, automatically set to episode id

Bug Fixes

BugDB SR Internal BP Summary

34838360

NXT-25874

Some activities are stuck in 'in process' status if new nodes are started while the activities are running

Description:

Some activities are stuck in 'In Process' status if new nodes are started while the activities are running

The fix for this issue will prevent NPEs from being thrown by oracle coherence

Resolution:

Added check on startup service, so that the system starts only when fully initialized

34747033

3-31049172121

NXT-25641

BP

Error while processing a claim in manual benefits status from postman

Description:

While processing a claim, 'IllegalArgumentException: AddMessage function unavailable in the current context' error is raised on derivation rule dynamic logic execution if dynamic logic calls addMessage predefined method internally.

Resolution:

Added message context before executing derivation rule.

34619109

NXT-25435

SortBy And Create Button Alignment Issue On Claims Page

Description:

Alignment issue seen in Sort By and Create Button on claims page

Resolution:

Alignment of Buttons adjusted between Sort By and Create Button in Claims JET screen

34768417

3-30452029991

NXT-25675

BP

Limit from product benefit specification is not selected on recalculation of coverage from manual benefits.

Description:

Limit from product benefit specification is not selected on recalculation of coverage from manual benefits .

Resolution:

Now this will be resolved. We are adding the limits during recalculation and limit consumptions are updated accordingly .

34721623

3-30270443091

NXT-25585

BP

Table stats for pri$fee_schedule_lines is gathered for all child activities concurrently

Description:

Table stats for pri$fee_schedule_lines is gathered for all child activities concurrently .

Resolution:

Gather table stats once for all the child activities .

34791410

3-31111589651

NXT-25726

BP

Not able to search with criteria in case the list of value have more than 50 results

Description:

Only the first 50 results are showing for an advanced search criterion and, because of that, a user is not able to find the required flex code definition to search on procedures/providers/diagnoses pages.

Resolution:

More than 50 results are shown for Flex Code Definitions in LOV in procedures, diagnosis pages.

34650872

3-30727204301

NXT-25489

BP

Custom lov poceduregroupdetails is not working in claimlines page

Description:

Create a record definition (ex: medication) with record-fields (medicationName, otherMedication of type char-100). Create ProcedureGroupDetailsLOV floorplan with title property Procedure.descr3. Use the record field medicationName as LOV on proceduregroupdetails. It is not saving the medication name

Resolution:

The dynamic record usage values are saved and works as expected when it is configured as LOV on proceduregroupdetails

34826798

3-31306279371

NXT-25851

BP

Resources cannot be searched, when the code starts with 25

Description:

For resources having code starting with 25, when we try to search for these resources in the Jet UI, the search never gets completed. When checking the console, the API call is returning a 400 Bad request as a status.

Resolution:

Users can now perform a search for resources with query like('25%')

34813545

NXT-25803

BP

Clear deserialization errors observed in OHI application logs

Description:

OHI application logs show a lot of deserialization errors . This has no functional impact .

Resolution:

OHI application logs will not have these deserialization errors now.

Issues that were backported in previous Release / Patch

No backports.