Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.21.1.0.1
This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.21.1.0.1.
Version compatibility: Oracle Health Insurance Claims Adjudication Release 3.21.1.x is only compatible with other Oracle Health Insurance applications release version 3.21.1.x unless explicitly stated otherwise. |
Enhancements
ID | Summary | Description | Included in Patch |
---|---|---|---|
NXT-20626 |
Claims processing should provide notification callback possibility |
Claim processing is a long running async process that is not backed up by a notification callback. The only way to know that the process is finished successfully or not, is to poll for its status. It would be beneficial to provide a notification capability at the end of the process whether ending in success or in failure. This also has to cater for the situation that a claim halts with a technical error. Solution Successful task completion can be notified to the external system by using claim event rules. However, claim event rules can not be used to monitor technical error(s). Therefor the claims flow is extended with the option to send a notification to an endpoint when the flow has raised a technical error. The endpoint defintion is stored as a system property. If the system property is not defined or of it has no value the flow will not send a notification. If it has a value, it will send the notification to this endpoint. The system property is: ohi.CLAIM_FLOW_ERROR.endpoint.request |
Upgrade Steps for Installation
To perform the upgrade, perform the following steps:
-
Perform any pre-upgrade steps.
-
Stop all the managed nodes running the .existing version of the application.
-
Perform any pre-undeploy steps.
-
Undeploy the existing version of the application.
-
Back up the database.
-
Perform any post-undeploy steps.
-
Unpack the release bundle into a directory that we refer to as OHI_ROOT from now on.
-
Change Installation Configuration: In
<OHI_ROOT>/util/install
, make a copy ofohi_install.cfg.template
and name itohi_install.cfg
. -
Edit
ohi_install.cfg
to contain your specific database connection data and other configuration settings. The settings are explained in the file itself. -
Make sure NO connections are present to the database using the OHI_xxx_USER account (where xxx is the abbreviation of the application)
-
Run the Upgrade script:
-
Open a command window and browse to
<OHI_ROOT>/util/install
. -
Run the upgrade by executing
./ohi-update.sh .
-
-
Make the required changes to the ohi properties file
-
Perform any post-upgrade steps
-
Start WebLogic application server
-
Deploy the Application
-
Perform any post-deploy steps
Configuration Properties
Ref | Action | Subject | Description |
---|---|---|---|
NXT-20626 |
Added |
ohi.CLAIM_FLOW_ERROR.endpoint.request |
If the claims flow raises a technical error, the system will send a notification to the endpoint specified in the ohi.CLAIM_FLOW_ERROR.endpoint.request system property. If the system property or the value of that system property is not set, then the flow will not send a notification. Note that this is not a new system property. The system uses the allready existing ohi.{0}.endpoint.request system property for this where {0} = CLAIM_FLOW_ERROR. |
UI Changes
Ref | Action | Subject | Description |
---|---|---|---|
NXT-22209 |
Removed |
Reference sheets |
Reference sheets Tile should not be visible |
Bug Fixes
BugDB | SR | Internal | BP | Summary |
---|---|---|---|---|
31931061 |
3-24111363781 |
NXT-21171 |
Flexcode field not saving on claim save |
|
Description: |
While updating flexcode (yes/no) on claimline, in certain scenario’s the new value of the field is not being saved. This happens typically when multiple claims lines are updated. |
|||
Resolution: |
Flex Code fields are saved correctly now even when multiple claim lines are updated. |
|||
32139431 |
3-24383895551 |
NXT-21456 |
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 release. |
|||
Resolution: |
The performance of importing flex codes through CMT is optimized now. |
|||
32219860 |
3-24628242821 |
NXT-21650 |
Applied provider pricing clause on claim line does not change when product category is changed |
|
Description: |
Changing the associated Product with the Product Category does not reflect a change in the applied provider pricing clause on the claim line. |
|||
Resolution: |
When a Product in the Product Category Dimensions is changed, the claim line is now correctly calculating the Applied Provider Pricing Clause on unfinalize and submit. |
|||
32529906 |
3-25047894481 |
NXT-22099 |
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. |
|||
32554892 |
3-25162308611 |
NXT-22161 |
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 |
|||
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. |
|||
32590339 |
NXT-22209 |
Reference sheets UI page is not usable in this release. |
||
Description: |
Reference sheets UI page is not usable in this release. |
|||
Resolution: |
Reference sheets Tile is removed |
|||
32626173 |
3-25359046661 |
NXT-22262 |
BP |
Currency conversion (payment) signature executed once per claim |
Description: |
Exchange rates are calculated incorrectly if the dates on claims lines differ from the last claim line. Conversion (Payment) signature dynamic logic is only executed once per claim for claim line with the most recent start date, instead of per claim line. |
|||
Resolution: |
Exchange rates are now calculated correctly for each claim line with different dates. Conversion (Payment) signature dynamic logic is executed for claim lines based on distinct start date, instead of once per claim. |