Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.20.3.0.6

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.20.3.0.6.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 3.20.3.x is only compatible with other Oracle Health Insurance applications release version 3.20.3.x unless explicitly stated otherwise.

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

32529926

3-25047894481

NXT-22100

BP

Claims Reprocess Integration Point should mark the existing pend reasons as resolved

Description:

Pend resolution details do not show resolved_date_time, resolved_by_user etc in the pend reason history when the pend is resolved during claims reprocess via 'api/claimsreprocess and api/claimsreprocesscriteria' IP.

Resolution:

Now the existing pend reasons are marked as resolved with timestamp using the information from the user context. This is logged in user for online reprocessing request and system user for batch reprocessing requests.

32554920

3-25162308611

NXT-22159

BP

Duplicating a claim line which has a value for an Overriding Claim Line parameter gives error

Description:

Duplicating a claim line which has a value for an Overriding Claim Line parameter gives the below error : GEN-ORA-00001: THIS CLAIM LINE OVERRIDE ALREADY EXISTS
Expectation is that no error message should be shown and claim line should be added without any errors.

Resolution:

Duplicating a claim line which has a value for an Overriding Claim Line parameter does not give error anymore. Now if a claim line has values for any of the below fields, then those values will not be available in the new duplicated line.
Family Code
Coverage Regime (Auth)
Funding Arrangement
Product Family
Product Line
Product
Coverage Specification
Coverage Regime (No Auth)
Post Benefits Regime
Waiting Period Regime Authorization Regime

32594054

3-24383895551

NXT-22215

BP

CMT data set containing flex codes systems and flex codes take more time than 3.20.2.0.0

Description:

CMT data set containing flex codes systems and flex codes take more time than 3.20.2.0.0

Resolution:

The performance of importing flex codes through CMT is optimized now.

Issues that were backported in previous Release / Patch

No backports.