Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.20.2.0.13

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.20.2.0.13.

Enhancements

No enhancements.

Upgrade Steps for Installation

To perform the upgrade, perform the following steps:

  1. Perform any pre-upgrade steps.

  2. Stop all the managed nodes running the .existing version of the application.

  3. Perform any pre-undeploy steps.

  4. Undeploy the existing version of the application.

  5. Back up the database.

  6. Perform any post-undeploy steps.

  7. Unpack the release bundle into a directory that we refer to as OHI_ROOT from now on.

  8. Change Installation Configuration: In <OHI_ROOT>/util/install, make a copy of ohi_install.cfg.template and name it ohi_install.cfg.

  9. Edit ohi_install.cfg to contain your specific database connection data and other configuration settings. The settings are explained in the file itself.

  10. Make sure NO connections are present to the database using the OHI_xxx_USER account (where xxx is the abbreviation of the application)

  11. Run the Upgrade script:

    1. Open a command window and browse to <OHI_ROOT>/util/install.

    2. Run the upgrade by executing ./ohi-update.sh .

  12. Make the required changes to the ohi properties file

  13. Perform any post-upgrade steps

  14. Start WebLogic application server

  15. Deploy the Application

  16. Perform any post-deploy steps

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

32956837

3-25801151221

NXT-22714

BP

Duplicate cases get created when there is product history

Description:

Claims are pending with message - Duplicate adjudication cases found for insurable entity. This happens when there is product history.

Resolution:

With this fix, case evaluation is done for current product only. So, duplicate cases will not be created .

33030271

3-25706903951

NXT-22862

BP

Failed activities of type PROCESS_TARGET_REPL_EVENTS can not be restarted from the View Activities screen

Description:

Failed activities of type PROCESS_TARGET_REPL_EVENTS can not be restarted from the View Activities screen.

Resolution:

Marked the activity PROCESS_TARGET_REPL_EVENTS with IND_TOP_LEVEL as 'Y' (in seed data), therefore the failed activities of type PROCESS_TARGET_REPL_EVENTS can now be restarted from the View Activities screen.

33072420

3-26234052381

NXT-22916

BP

Claims stuck at change status in case of multiple pend reasons

Description:

Claim line is not refreshed properly when a pend reason is resolved. Resolved pend reason is shown on the claim line.

Resolution:

Claim line is now refreshed properly and the pend reason which is resolved is not shown on the claim line.

33098067

3-26282021711

NXT-22988

BP

End enrollment derivation rules are not triggered when claim has non expired enrollment data

Description:

End enrollment derivation rules are not triggered when claim has non expired enrollment data.

Resolution:

End enrollment derivation rules will be triggered irrespective of claim having fresh or stale enrollment data.

Issues that were backported in previous Release / Patch

No backports.