Release Notes for Oracle Health Insurance Claims Adjudication Patch 4.25.1.0.20
This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 4.25.1.0.20.
| Version compatibility: Oracle Health Insurance Claims Adjudication Release 4.25.1.x is only compatible with other Oracle Health Insurance applications release version 4.25.1.x unless explicitly stated otherwise. |
| 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-33615 |
Enhance Claims in progress report to add out of the box fields. This enhancement adds new columns to the Claims in Progress metadata: claim form, process type, payer, total covered amount, total retention amount, total allowed amount, and process category. Documentation Links: |
|
NXT-34301 |
Extend generic APIs to fetch provider name for provider type of flexcodes This enhancement makes it possible to fetch the provider Name field when the flex code type is Provider. With this change, the provider Name field can now be configured and displayed on user interface pages that use Provider-type flex codes. In addition, Reference Sheet lines can now display the provider name when the field usage type is Provider. |
Bug Fixes
| BugDB | SR | Internal | Summary |
|---|---|---|---|
39470116 |
NXT-34294 |
Diminishing Rates - When a record is updated with end date, 'Diminishing Rates Block' table shows block range as 'undefined' for all the records |
|
Description: |
On the Diminishing Rates page, while updating the Diminishing Rate Blocks tab, if we try to add/update the Diminishing Rate Block Sizes and Diminishing Rate Block Amounts tabs with an End Date, the Block Range is appearing as undefined. |
||
Resolution: |
The Block Range now correctly displays the range that is active for the current date based on its configured Start Date and End Date |
||
39273889 |
NXT-34098 |
External Claims Data updates bypass access restrictions on settlement reasons |
|
Description: |
Users can update External Claims Data with a settlement reason that was access restricted and not available to them. This allows a finalized claim to be settled with an unauthorized settlement reason, or allow an existing restricted settlement reason to be removed by a user without the required access. |
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Resolution: |
Only authorized users can assign, replace, or clear an access-restricted settlement reason on external claims data. |
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39463266 |
NXT-34285 |
Authorization screen shows authorizations for a different claim/member |
|
Description: |
When user clicks on the authorizations screen from Claims page on a claim that doesn’t have an auth, its shows all the authorizations for the claim which were linked to previous claim accessed. |
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Resolution: |
Authorization information of claims is displayed properly without cache of previously opened claims |
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