Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.20.3.0.2

Enhancements

ID Summary Description Included in Patch

NXT-20417

Retrieve Contracted Providers IP

New integration point that retrieves providers contracted to render a particular service. The request supports a combination of procedures as well as user specified filters.

NXT-21203

Provider Identifiers

This enhancement focuses on extending the ability to store one or multiple identifiers on a provider. These are used to identify the provider when processing claims and enrollment.

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

Ref Action Subject Description

NXT-21203

Provider IN, Claims IN, Policy IN

This enhancement focuses on extending the ability to store one or multiple provider identifiers on a provider.

NXT-20417

Retrieve Contracted Providers Integration Point

New integration point that retrieves providers contracted to render a particular service.

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

32038887

NXT-21327

BP

Post Benefit Callouts : Tab shows count but no details in claims details page.

Description:

JET UI Tabs shows count but no details in it. User will be able to view and access the contents under the tabs like benefits, messages, pricing, pend reasons, financial holds and un-finalize reasons in the claim details page. Steps to recreate are:+ 1. Open any claim.
2. Click on messages in the claims details page.
Expected - Claim and Claim line messages should show the related details.

Resolution:

Now the user will be able to view and access the contents under the tabs benefits, messages, pricing, pend reasons, financial holds and un-finalize reasons in the claim details page.

32027833

NXT-21313

Unable to navigate to Menu tabs when viewing a claim

Description:

Unable to navigate to Menu tabs when viewing a claim. Steps to recreate are:
1) Search for claims
2) Open any claim
3) Click on configuration tab
Expected: User should be able to navigate Actual: User is not able to navigate

Resolution:

User is now able to navigate from claims view-edit page to other pages on different menu

Issues that were backported in previous Release / Patch

No backports.