Release Notes for Oracle Health Insurance Claims Adjudication Release 3.21.2.0.0

This document contains the release notes for Oracle Health Insurance Claims Adjudication Release 3.21.2.0.0.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 3.21.2.x is only compatible with other Oracle Health Insurance applications release version 3.21.2.x unless explicitly stated otherwise.
In accordance with the OHI error correction policy (Document 1494031.1 on My Oracle Support), error correction support will be provided for this release and the previous two releases.

Enhancements

ID Summary Description Included in Patch

NXT-19935

Upgrade / Downgrade Wait Period Evaluation

Some customers use a product ranking (level) to determine the relative cover of a product. The claims flow logic uses this ranking to determine the waiting period to serve in circumstances of upgrade and downgrade.

In some cases this product level ranking is not sufficient granularity and leads to leakage. This change allows waiting periods for upgrade/downgrade situation based on the potential amount covered including limit considerations. This is then used to determine the product to adjudicate under (based on waiting periods served and if a downgrade) and adjudication occurs normally.

This is only required when there are waiting periods to be served. Once a product is found in the history which is out of waiting periods then there is no need to calculate amounts covered for products held prior to that one.

NXT-20585

JET - Reference Sheet Page

A UI page to manage reference sheets is added to Claims, Policies, and Capitation JET application.

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). Therefore 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 definition 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

3.21.1.0.1

NXT-21417

PHI Audit logs must be written in the same transaction as PHI / PII access occurs

PHI logs were initially written to a local buffer file before being persisted in the database. For compliance it is required to persist PHI audit logs in the same transaction as PHI access occurs. If system property 'ohi.logging.target' is set to value 'database', OHI applications persist PHI access in the database as part of the HTTP API or ADF UI request in which PHI data was accessed. If the value for system property 'ohi.logging.target' is set to 'log', which is also the default if no value is specified, then PHI access continues to be logged using any configured Logback Appender for which the PHI filter is applied.

NXT-21616

Jet: Contract Reference Page

A UI page to maintain contract references is added to claims JET application

NXT-21618

Configuration pages to maintain baskets, diagnosis, and service types

The following new pages are added to the claims JET application:

Baskets, Diagnosis, Diagnosis Groups, Service Types, Tag Types

NXT-21646

Recalculation of Benefits

This enhancement introduces the following capabilities:

  • Allow claim line rule coverages to be updated in the callout function (post benefits)

  • Allow messages to be attached to a claim or claim lines in the in the callout function (post benefits)

  • Make it possible to prompt a recalculation of claim line rule coverages from within groovy (callout function / post benefits)

NXT-21647

Reprocess a claim automatically

This enhancement introduces the ability to send a claim back through the claims flow without having to pend for manual intervention when the external system business rules make an update to the claim. Using dylo functionality, changes can be identified which will trigger the claim to reprocess, bringing the claim back to initial status automatically. This enhancement also makes it possible to control the sequence in which external intervention rules are evaluated by the system.

NXT-21648

Additional Predefined Methods Accessible in Callout Dynamic Logic

New Predefined Methods are made available on Claim and Claim Line:

claimLine.removeClaimLineModifier claimLine.addClaimLineModifier claimLine.removeClaimLineDiagnosis claimLine.addClaimLineDiagnosis claim.removeClaimDiagnosis claim.addClaimDiagnosis claim.switchPrimaryClaimDiagnosis claimLine.switchPrimaryClaimLineDiagnosis

NXT-21672

Overriding Messages

This enhancement introduces a new type of message that can be overturned without having to reprocess the claim. Like INFORMATIVE messages, DENY messages do not prevent any processing step executing. In the “Set Claim and Claim Line Status” step in Adjudication, Deny messages are treated as follows:

  • If the overturn field is set to false, the message is treated as a fatal message

  • If the overturn field is set to true, the message is treated as an informative message

NXT-21687

Extend the length of Relation and Provider Identifier

This enhancement focuses on increasing the length of the Relation and Provider Identifiers from 30 to 100 char.Increased the length of the Identifier attribute from 30 to 100 char on the Relation Identifier entity. Increased the length of the Identifier attribute from 30 to 100 char on the Provider Identifier entity.

NXT-21768

Ability to set Dynamic Fields on Claim Line Limits

Ability to set Dynamic Fields on Claim Line Limits from Derivation Rule dynamic logic

NXT-21841

Cancel Reason Messages

This enhancement gives the user a flexibility of attaching their own specific cancel reason message along with the already existing claim cancel message (CLA-HTTP-002) in the request. This enables the user to know which claim got cancelled and why it got cancelled.

NXT-21842

Product Service Consumption Integration Point

This integration point returns limit max and consumption by service option service code. The member would search by service option and date. The service option for the member’s product may be included in a combination limit along with other service options. All service options that share a combination limit with the search service option are returned in the response in context of the combination limit.

NXT-21844

Benefit other Condition Message CLA-FL-BENS-026 should also include benefit specification code as an argument.

This enhancement enables the user to identify why a benefit specification was rejected, in case multiple conditions are used in the selection process by adding Benefit Specification code to Benefit condition message

NXT-22306

Extend CTR Claim Line Coverage with productFamilyCode

It is required to store productFamilyCode on CtrClaimLineCoverage. This is needed to lookup the benefit type for the Fusion Financial Benefit /Contribution Type Segment. CTR Claim line Coverage entity has been extended with an optional attribute productFamilyCode. Added an optional attribute productFamilyCode to the Financial Transaction Detail entity. Dynamic Logic-Updated the Transfer Claim Line Coverages logic with productFamilyCode. Also, Updated the financial transaction details logic with productFamilyCode.

NXT-22420

Store cancellation RRN on the claim

This enhancement makes it possible to set the provider reference on the claim when the claim is cancelled

OIG-1550

JET UI Page: Configuration Migration Sets

JET UI page to create and maintain configuration migration sets is added to claims, policy, and OIG applications.

POL-6890

Retire Address Type Domain

In release 3.21.1, the fixed address type domain was replaced by a user configurable address type domain as a separate entity. The integration points and API supported both versions. From this release, the type attribute is removed.

POL-7036

LOV enhancement : Search on all the fields by default, the gear (for field selection) is made optional.

In JET application, LOVs have a field selection feature, the search is then performed on the selected fields. This selection feature is made optional. By default search will be enabled on all the properties.

To enable this feature property propertySelection must be set to true in the lov floorplans.

POL-7040

Ability to make search criteria for quick search and LOVs mandatory

With this enhancement, it is possible to make criterion mandatory for quick search in pages and LOV search. This can be achieved by setting criteriaMandatory property in quick search / referenced property configuration to true.

POL-7124

Theming Changes to JET application

Oracle Javascript Extension Tool Kit ( JET) support for Alta Theme is deprecated with newer Oracle JET versions. A new theme - Redwood is now introduced from Oracle JET version 9. This theme is designed for better usability and responsiveness in comparison to Alta. In addition, to make use of newer and better components and features introduced with newer JET versions, it is important for the OHI application to be continuously on the latest version of JET, and therefore OHI javascript-based applications are now migrated to a new theme.

Key changes :

  • Overall color scheme

  • Search page template

  • Forms - Field layouts

Additional configuration requirement:

For Oracle Health Insurance applications that feature a JET UI, the user’s browser client needs to be able to access the Oracle Content Delivery Network (CDN).

Oracle recommends referencing the bundles configuration script file on Oracle CDN because Oracle maintains the configuration for each release. Pointing the application to the current bundles configuration ensures that the application runs with the latest supported library and module versions.

Oracle Health Insurance applications follow these recommendations. Make sure that the user’s browser clients can access CDN URIs that start with https://static.oracle.com/cdn. If CDN is not accessible from the user’s browser client, the JET UI will not work.

POL-7238

Ability to specify whether a floorplan applies for create mode or not

Before this release, all the floorplans that are configured are shown under the "add"/"create" options. The user can make use of tagging to select appropriate detail object plans but it is not possible to further filter out floorplans that should be shown under the "add" action.

This enhancement makes it possible that the floor plan is available for view/edit, but not for action create.

POL-7886

Extend dynamic Fields on Relation

The number of supported dynamic fields on relations entity are now increased from Small to Medium (which has - among others - 20 character dynamic fields)

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

Additional Upgrade Steps for Installation

The following phases are defined:

  1. pre-upgrade: Application is still running

  2. pre-undeploy: Application is stopped, but not undeployed.

  3. post-undeploy: Application is undeployed. Database is backed up

  4. post-upgrade: Released upgrade script has run.

  5. post-deploy: New application is deployed and is up and running.

The OHI Logback Database Appender can no longer be configured for logType 'phi'. Remove any appender of class 'com.oracle.healthinsurance.loggingsupport.appender.impl.OhiAppender' for logType 'phi' from the Logback configuration. To continue persisting PHI access in the database, set system property 'ohi.logging.target' to value 'database'. Note that use of the appender of class 'com.oracle.healthinsurance.loggingsupport.appender.impl.OhiAppender' for logType 'application' or logType 'dylo' is unaffected.

Run the following SQL statement as ohi_claims_owner and commit any changes:

update log_phi_events
set    event_doc =
json_mergepatch(
json_mergepatch(
json_mergepatch(
json_mergepatch(
nvl(event_doc, '{}')
, json_object('sourceapp' value nvl(json_value(event_doc, '$.sourceapp' returning varchar2(30 char)), 'claims')))
, json_object('sourceappversion' value nvl(json_value(event_doc, '$.sourceappversion' returning varchar2(60 char)), 'pre-3.21.1.0.0')))
, json_object('instancename' value nvl(json_value(event_doc, '$.instancename' returning varchar2(100 char)), 'UNKNOWN_DURING_CONVERSION')))
, '{ "arguments" : { "user" : "'||nvl(json_value(event_doc, '$.arguments.user'), 'UNKNOWN_DURING_CONVERSION') ||'" }}'
)
where  virtual_application is null
or     virtual_application_version is null
or     virtual_instancename is null
or     virtual_username is null;

In this release a performance improvement was included for the views generator. For this to work the VIEWS_OWNER database user should be granted CREATE TABLE privilege (the user creates a few global temporary tables). During the post-undeploy phase run the following SQL statement as a dba user:

grant create table to ohi_claims_views_owner;

If you used a different schema then the above default, adjust the command accordingly

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.

NXT-21417

Added

ohi.logging.target

Defines the target for logging PHI access. Possible values are 'database', for logging to the database, or 'log' for logging PHI access to the Logback appender configured for it. Default value is 'log'.

OIG-1550

Added

ohi.jsui.cmt.payload.max.items.limit

Defines the maximum number of items that can be included in the payload.

Property: ohi.jsui.cmt.payload.max.items.limit Default: 300

Web Services

Ref Action Subject Description

NXT-19935

Added

generic/waiverreasons

New HTTP API Resource for defining Waiver Reasons

NXT-19935

Added

generic/coveredservicetiers

New HTTP API Resource for defining Covered Service Tiers

NXT-19935

Added

generic/personcoveredservices

New HTTP API Resource for getting Person Covered Services

NXT-19935

Modified

CL0155: Claims In integration point

Removed list of policy waiting period start dates from <enrollment>, removed coverage level from <product>

NXT-19935

Modified

CL0140: enrollment Integration point

Removed list of policy waiting period start dates, removed coverage level from <product> element, added indicator suspended to the policy product

NXT-19935

Modified

CL0159: Claims Out Integration Point

Added the <ctrClaimLine AppliedParameterList> element to the <ctrClaimLineList>

NXT-19935

Modified

generic/persons

Added Person Covered Service element

NXT-19935

Removed

generic/policywaitingperiodstartdate

Removed the HTTP API Resorurce

NXT-20585

Modified

referencesheetlines API

Added an operation to support collection patch

NXT-21417

Modified

logphievents API

The following attributes are removed: eventDoc; eventTimestamp; eventLevel; eventThread; contextItemId; contextItemType

NXT-21687

Modified

Provider Integration Point

The length of identifier attribute of provider identifier is extended to 100 characters

NXT-21687

Modified

Relation Integration Point

The length of identifier attribute of relation identifier is extended to 100 characters

NXT-21687

Modified

Claims In Integration Point

The length of identifier attribute of relation identifier is extended to 100 characters

NXT-21687

Modified

Policy In Integration Point

The length of identifier attribute of relation identifier is extended to 100 characters

NXT-21841

Modified

Cancel HTTP

Updated the cancel logic

NXT-21842

Added

productserviceconsumptions IP

New integration point

NXT-21842

Modified

/api/generic/limits

Service Option Service Code added

NXT-22306

Modified

financialtransactiondetails API

Added productFamilyCode attribute to financialtransactiondetails API

POL-6890

Modified

Relation Integration Point

The type attribute on address is removed

POL-6890

Modified

addresses API

The type attribute on address is removed

POL-6890

Modified

relations API

The type attribute is removed

POL-7238

Modified

floorplans API

Added createEnabled attribute

Data Conversion

Ref Action Subject Description

NXT-21417

Modified

Log PHI Events

Newly added attributes are derived from event_doc

NXT-21647

Modified

Pend Reasons

Reprocess indicator for existing pend reasons is set to N

NXT-21647

Modified

External Intervention Rules

Sequence is set to 1 for all existing external intervention rules

NXT-21841

Added

Cancel Origin

Added new origin 'CANCEL' to the domain MESSAGE ORIGIN.

POL-7238

Modified

Floor Plan

IND_CREATE_ENABLED is set to 'Y' for all floor plans with template set to 'HIERARCHICAL RECURSIVE'

Dynamic Logic

Ref Action Subject Description

NXT-19935

Modified

waiting period start date

The signature for the waiting period start date dynamic logic function has changed

NXT-21646

Added

claim.setRecalculateBenefits

The claim is flagged for recalculation, the actual recalculation takes place in the Adjudication step of the claims flow.

NXT-21646

Added

claimLineRuleCoverage.setAmountManually

This predefined method sets the amount of a claim line coverage and prevents the value from updates during the recalculation of benefits.

NXT-21648

Added

claimLine.removeClaimLineModifier

Predefined method to remove claim line modifier

NXT-21648

Added

claimLine.addClaimLineModifier

Predefined method to add claim line modifier

NXT-21648

Added

claimLine.removeClaimLineDiagnosis

Predefined method to remove claim line diagnosis

NXT-21648

Added

claimLine.addClaimLineDiagnosis

Predefined method to add claim line diagnosis

NXT-21648

Added

claim.addClaimDiagnosis

Predefined method to add claim diagnosis

NXT-21648

Added

claimLine.switchPrimaryClaimLineDiagnosis

Predefined method to swap primary claim line diagnosis with secondary

NXT-21648

Added

claim.switchPrimaryClaimDiagnosis

Predefined method to swap claim diagnosis with secondary

NXT-21648

Added

claim.removeClaimDiagnosis

Predefined method to remove claim diagnosis

NXT-22306

Modified

Financial transaction details logic

Updated the financial transaction details logic with productFamilyCode.

NXT-22306

Modified

Transfer Claim Line Coverages logic

Updated the Transfer Claim Line Coverages logic with productFamilyCode.

UI Changes

Ref Action Subject Description

NXT-19935

Added

FN0080: Waiver Reasons Page

Added Waiver Reasons JET Page

NXT-19935

Added

FN0081: Covered Service Tier Page

Added Covered Service Tier JET Page

NXT-19935

Modified

CL0007: Waiting Period Regimes

Added new column 'Message (Continue)'.

NXT-19935

Modified

RM0012: Persons Page

Added person covered service tab to JET persons page

NXT-20585

Added

FN0044 Reference Sheets

Reference Sheets page

NXT-21616

Added

CL0112 Contract References

Contract Reference JET page

NXT-21618

Added

Baskets, Diagnosis, Diagnosis groups, Tag types, Service Types

Added Baskets, Diagnosis, Diagnosis groups, Tag types, Service Types pages

NXT-21647

Modified

CL0045 External intervention rules

'Sequence' field added.

NXT-21647

Modified

CL0036 Setup pend reasons

"Reprocess" checkbox added.

NXT-21672

Modified

Claim Detailed Dialogs

Claim and Claim Line detail dialogs show new Message Severity 'Deny'. Deny Message is shown as Overturned when 'overturned' is true.

NXT-21672

Modified

FN0002 Messages

New Message Severity 'Deny' added.

NXT-21842

Modified

CL0003 : Setup Adjudication Limits

Service Option Service Code added to the overflow of the Adjudication Limits.

NXT-22273

Modified

Reference Sheets

Claims application was not showing the Reference Sheets option on menu option when user has only Reference Sheets Function access. It is now available.

NXT-22340

Modified

Conditional display properties

Conditional display properties are configured to work with flexcode based fields.

OIG-1550

Added

Configuration Migration Sets

Configuration Migration Sets page added

POL-7036

Modified

All JET pages having LOV’s

By default search on all properties for an lov

POL-7040

Modified

All JET pages having Quick Search and LOV’s

Added criteriaMandatory property in Quick Search and LOV component

POL-7238

Modified

Floorplan

Floorplans with createEnabled set to false are not shown as an option under "create" (top-level") or "add" detail level

Deprecated items (to be removed in future release)

This section intentionally left blank.

Breaking Changes

Ref Action Subject Description

NXT-21417

Modified

log_phi_events

Column event_doc is removed

POL-6890

Modified

Relation Integration Point

The type attribute on address is removed

POL-6890

Modified

addresses API

The type attribute is removed

POL-6890

Modified

relations API

The type attribute on address is removed

POL-7124

Added

POL-7124

For Oracle Health Insurance applications that feature a JET UI, the user’s browser client needs to be able to access the Oracle Content Delivery Network (CDN).

Oracle recommends referencing the bundles configuration script file on Oracle CDN because Oracle maintains the configuration for each release. Pointing the application to the current bundles configuration ensures that the application runs with the latest supported library and module versions.

Oracle Health Insurance applications follow these recommendations. Make sure that the user’s browser clients can access CDN URIs that start with https://static.oracle.com/cdn. If CDN is not accessible from the user’s browser client, the JET UI will not work.

Bug Fixes

BugDB SR Internal BP Summary

31173021

3-20362370061

NXT-20395

ORA-01555 Errors for sqlid gc0udub5tk6vd

Description:

The database alert log shows intermittent ORA-01555 errors for sqlid gc0udub5tk6vd. This seems to happen when dequeueing messages from AQ. This alert does not impact OHI functionality.

Resolution:

Fixed the navigation option of dbms_aq package call done from task_queue.pkg to avoid ora-01555 error in alert log.

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.

32029725

3-24571978961

NXT-21318

LOV not displayed for certain flexcodes for Dynamic records.

Description:

In the Dynamic Records popup, LOV is not displayed for flex codes field.

Resolution:

Fixed the refresh issue. Now user can launch and select value from LOV for flex code field.

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.

32288599

3-24626202211

NXT-21757

All the records are not shown for Flexcodes LOV

Description:

When a Flex Code LOV is opened on Enter Claims page, all the records are not shown. All the records are shown only when we select any row in the LOV. This issue is seen only on Chrome and not on Firefox.

Resolution:

All the records of Flex Code LOV are shown as expected on Enter Claims page. A fix is made to enable resizing of the dialogue.

32477329

NXT-22009

CMT process hangs if interrupted and does not allow running any new CMT process

Description:

When CMT fails the job can be stuck within the database which prevents the user from running another CMT.
Steps to reproduce :
1. Start CMT Import, when the import has started, stop the server.
2. Restart the node(s).
3. Start another import process.
4. The process does not start, and fails.

Resolution:

The resolution was mostly done on transactional grounds of the cleanup services. Post the resolution, if CMT process is interrupted due to any reason, it can be started again.
Steps to verify are :
1. Start CMT Import, when the import has started, stop the server.
2. Restart the node(s).
3. Check the status of the CMT process after restart, it should be marked as F.
4. Start the import process again, it should be possible to successfully start the process.

32578470

NXT-22037

User is able to update the enabled atribute of an identifier even after not having the update access

Description:

For both provider and relation identifiers it is not possible to update the identifier itself when a user is not having update access, however it is possible to update other attributes, like enabled and/or dynamic fields/records. This should not be allowed.

Resolution:

Removed restriction on update of identifier only: it now checks whether relation identifier/provider identifier is updated regardless.

32501857

3-25047894481

NXT-22044

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.

32525568

3-24978902091

NXT-22093

Usage names with a reserved SQL word results in view generation failure

Description:

A usage name like "level" (which is a SQL reserved word) results in a failure in the view generator for the table where this usage is used.

Resolution:

Usage name like "level" is generated in the view of the table.

32554859

3-25162308611

NXT-22158

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

32581643

NXT-22166

Create-form link shall not be available for baseviews, baseviewgeneration and baseviewcolumn resources

Description:

Before this release, create-form link is visible for baseviews, baseviewgeneration and baseviewcolumn resources. Also baseviewerrors is not listed as a resource.

Resolution:

Create-form links for baseviews, baseviewgeneration and baseviewcolumn resources are removed. Baseviewerrors resource is now listed as a resource.

32574117

NXT-22182

Some logfilesetspecifications stay on specified status

Description:

If no log messages are applicable for the specified logfilesetspecification, the logfilesetspecification stays on S(pecified), and no error is present. Also specifications with status S are not cleaned. The required fields of logfilesetspecifications generic resource metadata show following not required fields: errorMessage, fileSetStatus and dataFileSet The fileSetStatus x-oi-meaning shows "null" instead of "Specified", Processed", "Errored" The x-oi-meaning for logLevel and logType shows "null"

Resolution:

Logfilesetspecifications are set to status processed when no events are present. These specifications are cleaned up as well. The metadata required fields only shows required fields and x-oi-meaning fields are filled.

32592844

3-25255922421

NXT-22212

CLA-FL-BENS-066 error is attached to claimline even when policy product exists

Description:

When there are multiple policy products for the same product, application intermittently picks up the wrong policy product and this causes CLA-FL-BENS-066 error.

Resolution:

The product is not reselected when previous products are added. This avoids CLA-FL-BENS-066 error.

32594377

3-25194634741

NXT-22217

The urls to collect data from source system for CMT import, should be based on the request url

Description:

Subsequent requests made to collect data from source system for CMT import is not based on the request url.

Resolution:

If a rest service asks for metadata information, then it is now assumed to always obey the header of request URL. So, any subsequent requests made are now based on the request URL.

32601871

3-24591194951

NXT-22237

CMT export takes more time in retry step if the statistics of table OHI$CFG_MIGR_MARSHALLED_ITEMS is not up-to date.

Description:

When there are a lot of records written to OHI$DATA_SET_PROCESS_FAILURES (if concurrency is more and/or if the same top level item is referenced by multiple other top level items), then retrying the failed records from OHI$DATA_SET_PROCESS_FAILURES table, the query on table OHI$CFG_MIGR_MARSHALLED_ITEMS uses inefficient access path because the statistics on the table OHI$CFG_MIGR_MARSHALLED_ITEMS is not up-to date.

Resolution:

Statistics of the table OHI$CFG_MIGR_MARSHALLED_ITEMS is kept up-to-date now in CMT export process.

32603647

3-25327125711

NXT-22238

Using a diagnosis group in benefit specification gives CLA-FL-BENS-019 ERROR

Description:

If two benefit specification uses same diagnosis group with different diagnosis type, only the first benefit specification is considered.

Resolution:

Benefit specification using same diagnosis group but different diagnosis type will now be considered

32835810

NXT-22256

Claims out activity notification misses file link

Description:

The notification for claims out activity notification (configured with ohi.claimsout.datafile.notification.endpoint) does not contain the expect 'file' link for the data file.

Resolution:

The 'file' reference link is available in the notification.

32626104

3-25383612121

NXT-22260

Only 1 limit exceed message is raised when multiple cover limits are exceeded

Description:

When multiple cover limit are exceeded, no other cover limit message is shown after getting one fatal message.

Resolution:

Now all the messages will be shown in case of multiple cover limits being exceeded.

32626154

3-25359046661

NXT-22261

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.

32635008

3-25352091891

NXT-22273

Claims application not Showing the Reference Sheets option on menu option

Description:

In claims application, the Reference Sheet option is not visible on the menu item under the system when a user has only Reference sheets function access.

Resolution:

Reference sheet option is now available in the menu items in System when user has only Reference Sheets Function access .

32638211

NXT-22284

CMT-Code and Descriptions fields values were getting cleared While Creating new set With Multiple configuration Items with Exclude Option.

Description:

Code and Descriptions fields values were getting cleared if we select an exclude option and then select something in the Configuration Items

Resolution:

partial trigger was not handled properly , now the ui doesn’t get reloaded partially every time we select the new Configuration item

32656493

3-25194388651

NXT-22301

Benefits task should not fail with NPE if incorrect subscription date is returned by the enrollment response

Description:

Enrollment Information regarding contracts of some claims is outside the scope of the claimLine service date which leads to null pointer exception (NPE) at benefits task. Reprocessing these claims by sending them again with claims in and overwrite flag resolves the issue. But , NPE still need to be avoided .

Resolution:

A new message "CLA-FL-BENS-068" has been introduced for such scenarios. This will be attached to claim line message with message description as "Unable to complete benefit selection successfully". Also, an error message will be logged in log file .

32663728

3-25194388651

NXT-22322

NPE in benefits step is seen where claim has claimline(s) having case definition details as ancillary lines.

Description:

When a claim has multiple policy product including history with same product, there are multiple product benefit specifications for this product because initial selection happens based on the policy product and not on the product. In OHI, if a claimline is an ancillary detail to the case definition attached to the ben spec, then those lines are deleted. Since there are multiple product benefit specifications selected for the same benefit specification, when second time the same benefit spec is processed, it again tries to delete ancillary lines which are now no longer there, and hence gets Null Pointer Exception (NPE).

Resolution:

One product is selected only once. The benefitspecification selection cache is extended to have product id as key and not policy product id .

32663776

3-25194388651

NXT-22328

Claim processing fails with NPE in finalize task when consumptions are finalized before periods

Description:

When there are no existing provider limit counter periods for the provider limit counter, then application returns null which cause Null pointer exception and claim gets stuck. However, there are preliminary provider limit counter periods that should be finalized before finalizing consumption. So sometimes that doesn’t happen in the same order as intended, which is periods before consumption.

Resolution:

It is ensured that periods are finalized before consumption and that those finalized periods are available to be queried while finalizing consumption. Also, null check is added incase if no periods are found.

32869636

NXT-22340

Conditional display triggered on flexcodes based fields is not working

Description:

Conditional display triggered on flexcodes based fields is not working.

Resolution:

User will now be able to configure conditional display properties on flexcode based fields.

32682923

3-25228475161

NXT-22343

Claims search in GUI taking long time.

Description:

Queries having call for table(ohi_util_pkg.split_ids(:1)) calculates wrong cardinality estimated rows as 8k due to which query uses poor plan. As a result search query takes long time.

Resolution:

This issue is fixed by implementing extensible optimizer feature available from Oracle DB 12.2 onwards. Query performance is now improved.

32735599

3-25577949681

NXT-22406

Supported paths in claimscalloutresponse IP metadata doesn’t work.

Description:

Supported paths in claimscalloutresponse IP returns "Not Found" because paths in metadata doesn’t contain "/claimscalloutresponse" prefixed in them . Example - It is /custom instead of /claimscalloutresponse/custom in the metadata .

Resolution:

All the supported paths are prefixed with "/claimscalloutresponse" now. This fixes the 'Not Found' error in claimscalloutresponse IP.

32766599

3-25664580391

NXT-22426

CLA-IP-ENRO-009 error is thrown when the families in the enrollment response have a time gap between them

Description:

When the families in the enrollment response have a time gap between them, CLA-IP-ENRO-009 error is thrown even though a family code is present for all days on which the policy product is enrolled.

Resolution:

Even if there is gap between the end date on previous line(family) and start date on current line (family) in the enrollment response, current family line will be selected provided product is valid in the specified period.

32768782

3-25455694151

NXT-22427

Scrollbar resets when changing the method/rule in DPPC page.

Description:

Scrollbar and Start date reset when changing method/rule in DPPC page.

Resolution:

The scrollbar and the start date do not reset now when the value for method/rule is changed in DPPC page.

32796319

3-25530847051

NXT-22454

It should be allowed to create more than 999 reference sheets

Description:

Reference sheets sequence has a max limit of 999 after which new reference sheets cannot be created. Deleting a few reference sheets also doesn’t help.

Resolution:

Able to add more than 999 Reference Sheets with the fix in place.

32804829

3-25726570421

NXT-22492

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 error.

Resolution:

Duplicating a claim line which has a value for the overriding claim line parameter does not give any error now and it saves correctly.

32805296

3-25694698761

NXT-22495

SEND_FINANCIAL_MESSAGES activity type should be allowed to be recovered

Description:

When claims fail in delivery to OHI, a new batch with the identifier "SEND_FIN_MESSAGE" is created which should allow re-trigger but is not available as option currently. The icon to re-trigger only appears when activity is in one the failure states and is a top level activity

Resolution:

The icon to re-trigger is now available when the activity is in one of the failure states and does not have origin spawned or when it in one of the failure states and is a top level activity.

32842738

3-25689550511

NXT-22532

Updating dynamic records on multiple record definitions with same key field name does not work

Description:

Update of dynamic records do not work with multiple record definitions having same key name because existing records are filtered only on key and value but not field usage name.

Resolution:

Updating dynamic records on multiple record definitions with same key field name work as expected with this change. Now the existing records are filtered on field usage name also.

32874330

3-25212425011

NXT-22582

BP

Tune the Limit Consumption query for faster response.

Description:

After upgrading to 3.20.2, increase in the average processing timings when compared to the previous base line tests was reported. Limit consumption query needs optimization to fix this.

Resolution:

The query has been tuned to have a better execution plan and will reduce the overall execution time of the query.

32887575

NXT-22596

BP

Error in finalization step if there there are no existing counter periods for provider limit counter

Description:

There is error in finalization step if there are no existing counter periods for provider limit counter. Code returns null in such cases leading to null pointer.

Resolution:

If there are no existing counter periods for provider limit counter, finalization will continue as expected. Empty list is returned instead of null in such cases.

32898240

3-25943541561

NXT-22620

BP

Enrollment client does not initialize property in all culster nodes if properties come from the database

Description:

Enrollment client properties are specified in the database (not in the properties file). In one of the cluster nodes the Enrollment Client is initialized properly but in the other node Enrollment Client initialization seems to happen before initialization of the properties collection was completed.

Resolution:

While multi node cluster started one of the node is not ready with initialized state to properly configure enrollment client information. With this fix each node will ensure to populate the enrollment client with appropriate values.

Issues that were backported in previous Release / Patch

BugDB Internal Summary Backport BugDB SR

32029725

NXT-21318

LOV not displayed for certain flexcodes for Dynamic records.

3.20.3.0.5

32029774

3-24571978961

32139431

NXT-21456

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

3.20.3.0.6

32594054

3-24383895551

32501857

NXT-22044

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

3.20.2.0.9

32519594

3-25047894481

32501857

NXT-22044

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

3.20.3.0.6

32529926

3-25047894481

32501857

NXT-22044

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

3.21.1.0.1

32529906

3-25047894481

32554859

NXT-22158

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

3.21.1.0.1

32554892

3-25162308611

32554859

NXT-22158

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

3.20.3.0.6

32554920

3-25162308611

32554859

NXT-22158

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

3.20.2.0.9

32554930

3-25162308611

32592844

NXT-22212

CLA-FL-BENS-066 error is attached to claimline even when policy product exists

3.21.1.0.2

32609242

3-25255922421

32592844

NXT-22212

CLA-FL-BENS-066 error is attached to claimline even when policy product exists

3.20.2.0.9

32592982

3-25255922421

32594377

NXT-22217

The urls to collect data from source system for CMT import, should be based on the request url

3.21.1.0.2

32594368

3-25194634741

32626154

NXT-22261

Currency conversion (payment) signature executed once per claim

3.21.1.0.1

32626173

3-25359046661

32626154

NXT-22261

Currency conversion (payment) signature executed once per claim

3.20.2.0.9

32633574

3-25359046661

32635008

NXT-22273

Claims application not Showing the Reference Sheets option on menu option

3.21.1.0.2

32816965

3-25352091891

32656493

NXT-22301

Benefits task should not fail with NPE if incorrect subscription date is returned by the enrollment response

3.21.1.0.2

32656520

3-25194388651

32656493

NXT-22301

Benefits task should not fail with NPE if incorrect subscription date is returned by the enrollment response

3.20.2.0.9

32656541

3-25194388651

32663728

NXT-22322

NPE in benefits step is seen where claim has claimline(s) having case definition details as ancillary lines.

3.20.2.0.9

32663806

3-25194388651

32663728

NXT-22322

NPE in benefits step is seen where claim has claimline(s) having case definition details as ancillary lines.

3.21.1.0.2

32663803

3-25194388651

32663776

NXT-22328

Claim processing fails with NPE in finalize task when consumptions are finalized before periods

3.20.2.0.9

32663843

3-25194388651

32663776

NXT-22328

Claim processing fails with NPE in finalize task when consumptions are finalized before periods

3.21.1.0.2

32663846

3-25194388651

32869636

NXT-22340

Conditional display triggered on flexcodes based fields is not working

3.21.1.0.3

32873325

3-25808562021

32682923

NXT-22343

Claims search in GUI taking long time.

3.20.2.0.9

32718141

3-25228475161

32682923

NXT-22343

Claims search in GUI taking long time.

3.21.1.0.2

32718142

3-25228475161

32735599

NXT-22406

Supported paths in claimscalloutresponse IP metadata doesn’t work.

3.20.2.0.10

32756400

3-25577949681

32735599

NXT-22406

Supported paths in claimscalloutresponse IP metadata doesn’t work.

3.21.1.0.2

32756401

3-25577949681

32766599

NXT-22426

CLA-IP-ENRO-009 error is thrown when the families in the enrollment response have a time gap between them

3.21.1.0.2

32766628

3-25664580391

32768782

NXT-22427

Scrollbar resets when changing the method/rule in DPPC page.

3.20.2.0.10

32768858

3-25455694151

32768782

NXT-22427

Scrollbar resets when changing the method/rule in DPPC page.

3.21.1.0.2

32768828

3-25455694151

32804829

NXT-22492

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

3.21.1.0.2

32804939

3-25726570421

32804829

NXT-22492

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

3.20.2.0.10

32804930

3-25726570421

32805296

NXT-22495

SEND_FINANCIAL_MESSAGES activity type should be allowed to be recovered

3.20.2.0.11

32893871

3-25694698761

32805296

NXT-22495

SEND_FINANCIAL_MESSAGES activity type should be allowed to be recovered

3.21.1.0.3

32893870

3-25694698761

32842738

NXT-22532

Updating dynamic records on multiple record definitions with same key field name does not work

3.21.1.0.2

32847608

3-25689550511

Known Issues

BugDB SR Internal Summary

31545595

NXT-13750

GEN-DYNA-001 not raised when sending in multiple lines with the same value

Description:

GEN-DYNA-001 not raised when sending in multiple lines with the same value for a dynamic field that is setup to be unique.

21085259

3-10126085901

NXT-13816

Some classifications are being appended twice when duplicating rows of PPCS

Description:

Some classification fields are being appended twice when duplicating Partial Provider Pricing Clauses in a Pricing Option. These duplicate values are separated by a semi-colon. This is the case for the following fields:
Classification scheme
Claim classifications
Claim line classifications

25244244

NXT-15022

Access- RM0016 - On the persons and Organizations page The expand overflow button is not accessible by keyboard

Description:

While doing keyboard testing the objective is that via keyboard a person can access the whole application. But on Persons and Organizations page the cursor focus does not move to the expand overflow icon.

25244411

NXT-15247

Access - CMN - Value and Type Focus is lost after Value field

Description:

In Value and Type field Focus is lost after Value field and user could not access type field automatically.

25244539

NXT-15572

Access - Oghag tool - links - Empty values for Servicing provider some how gets detected as links and hence error displayed

Description:

On View Authorization page for blank value on Servicing provider link is getting detected which throws the error when the link tool on the OGHAG toolbar is used.

25222260

NXT-15588

Access - Documentation - Lang attribute missing for HTML element

Description:

When used structure tool of OGHAG toolbar 1 error is constantly appearing for all the pages of documents. i.e. Error - No lang attribute found on HTML element in document. The same issue is observed for Integration guide.

25228067

NXT-15592

Access - Focus should first come left hand side first menu

Description:

Keyboard Testing
Steps to reproduce 1. Login to OHI Claims.
2. On the home page Click tab from the Url.
Expected result - The focus should shift to the the left hand side top menu of the application.
Actual result - As of now from the browser if user clicks tab it goes to preferences instead.

25228223

NXT-15593

Access - CTRL+INS+I: List items does not work in the application

Description:

Pre-requisites
1. Screen reader mode must be ON
2. JAWS must be ON
3. Open application in IE browser
Steps to reproduce:
1. Navigate to Claims→Claims Search
2. Search such that multiple Claims are displayed
3. Press INS+CTRL+I
Expected result : List items in the page must be displayed Current result: Open the browser favorites

25228451

NXT-15594

Access - Error messages are not read in SR mode

Description:

Pre requisites - Screen reader mode ON, Jaws, use <TAB> to navigate Steps to reproduce:
1. Navigate to Configuration → Process Rules → External Intervention rule.
2. Click on Add row with entering any more details click on Save.
3. Read the page by JAWS.
Expected: The error message must be read while using JAWS to let the blind user know that he has encountered an error.
Actual: The error message is not read.

25238148

NXT-15600

Accessibility - When 200% ZOOM is applied on NO vertical scroll is available

Description:

Steps to reproduce : 1> Navigate to Draft Provider Pricing Clauses(DPPC) page. 2> Set the browser zoom of FF to 200%. 3> Verify the page.

Observations : No vertical scroll is found. When the main section is displayed the child section is not displayed. When main panel is closed the child section is some what displayed but again as vertical scroll is not there so not possible to find the records.

25238284

NXT-15602

Access - Close Tab 'X' icon is not accessible while doing keyboard testing

Description:

Keyboard Testing
Steps to Reproduce:
1. Open Claims application.
2. Open any page (such as Medical Cases)
3. Using tab only try to access the 'x' icon of any opened page.
Expected Result - It should be accessible by tabbing so that through keyboard testing user can be able to close the page. Actual Result - It is not accessible via keyboard by tabbing.
Work around is Close All icon. This is accessible via keyboard.

25238564

NXT-15603

Access - "ITEM:" is missing for all the non-context tables in the parent

Description:

Steps to reproduce:
1. Navigate to Member Limit Counters.
2. Navigate to Enter Claim.
3. Using tab key navigate to the titles of each tab.
Expected result: "Item:" must be available for JAWS to read when the focus is on Enter Claims(focused) page.
Actual Result: Item is not available and hence the listener will not able to understand that the focus is shifted to a new tab.

25239039

NXT-15605

Access - Jump to line functionality of JAWS does not work on our application

Description:

Jump to line functionality of JAWS enables user to navigate to specific line/attribute based on it unique number.
Pre-requisite : Screen reader mode must be ON
Steps to reproduce:
1. Navigate to Configuration→Flex Code Definitions
2. Using tab navigate to Configuration root menu panel.
3. Make the commands for jaws active. ( just make sure they are some times you have to restart JAWs for this)
4. Press J
5. Increment the number by 1
6. Click on OK
Expected result : Focus must be next element (any other element based on number provided)
Current result: Focus remains in same position before and after performing the jump operation.

25239527

NXT-15609

Access - Document Testing - Graphic images are not detected by Jaws

Description:

Open JAWS, Screen Reader on.
- Navigate to the document
- Move to page with graphic image
- Press CTRL+INS+G
- Verify with OGHAG toolbar with Image tool.
Expected result : labels of the graphic images are displayed
Actual result : JAWS doesn’t identify the images.

25239595

NXT-15611

Access - Document Testing - The page address link is read as page title

Description:

JAWS reads page address link as Page Title. Steps to recreate are - Open JAWS; Navigate to document ; Press INS + T and Verify JAWS audio
Expected result: 'OHI Claims Adjudication' should be read as title
Actual result: Address link of the page is read as page title and this is not.

27174341

NXT-17645

Accessibility - Documentation - No summary defined for data table

Description:

Steps to reproduce
Publish the updated Installation guide for OHI Claims Adjudication in HTML format.
3> Run keyboard testing, OAG toolbar testing and Jaws on the pages.

Observation - No Summary Defined for Data table (wcag2 1.3.1) (Table tool)

28334716

NXT-18265

Accessibility - Investigate how to implement and apply High contrast mode

Description:

This task is to enable high contrast mode for JET UI’s .

28357739

NXT-18626

Accessibility - No documentation to define accessibility and compatibility features

Description:

As, JET provides info that should be included in the accessibility chapter of any product built with it, there should be documentation to define Accessibility and Compatibility Features.

31528485

NXT-20720

Accessibility - Application is not supporting PORTRAIT mode

Description:

The application needs to support portrait mode as well as landscape mode.

31528563

NXT-20721

Accessibility - Not able to acces menu items with 300% zoom

Description:

With 300% zoom user is not able to access the menu items which is a loss of information/ functionality. Also the dropdown with user name is not visible with 400% zoom.

31528989

NXT-20722

Accessibility - Not able to access gear icon with LOV using keyboard on create group client page

Description:

The issue can be reproduced by accessing any LOV through keyboard.

31528927

NXT-20723

Accessibility - Additional information which comes from hovering over links is not accessible.

Description:

Additional information which comes from hovering over links is not accessible.

31529019

NXT-20724

Accessibility - Advanced Search Box is not accessible in Firefox browser.

Description:

Advanced Search Box is not accessible in Firefox browser. It works fine in Chrome Browser. This issue is applicable for JET screens.

31529141

NXT-20725

Accessibility - Save status messages are not conveyed through screen reader

Description:

Assistive technology does not covey the information of the status messages.
Prerequisite
JAWS application should be running.
Steps:
1. Save any data in the application.
2. JAWS doesn’t convey any message for the saved data.
Expected Result - JAWS should covey the message for the status messages.

31628710

NXT-20881

UI - the horizontal scroll bar retraces once on claim line section

Description:

On claim line section, the horizontal scroll bar retraces back once user tries to check details on right of the claim lines. Although it happens only once and in later instances it works as expected.

31634226

NXT-20888

UI - User is unable to navigate on detail dialogs while moving to next set of records.

Description:

Preconditions: Set the ohi.ui.maxrowstoretrieve property to a minimum value (eg. 5)
Steps: (Pend reason dd)
On pend reason dialog try to add more than 5 records so that the option to navigate to Next/ Previous sets are available.
User tries to navigate on next set using "Next" button, but thrown out of the system with an exception.

31636129

NXT-20889

UI - Horizontal scroll bar on claim line area repositions at center after opening two claimline simultaneously.

Description:

Preconditions: A Claim with multiple claim lines & user tries to open multiple claim line overflow area.
Once user tries to perform close to open and vice versa on claim line overflow area, the horizontal scroll bar repositions to the center.

32018463

NXT-21301

CALLOUTSEND process gives exception intermittently

Description:

Callout send process is failing intermittently

32192848

NXT-21548

Textarea as the column in the search table is not rendering correctly

Description:

Steps to Reproduce:
1) Create custom floorplan with Dynamic field in column as Textarea.
2) Search for the procedure which has the large value in the dynamic field.
Expected Results: Search results should display along with the textarea in the column.
Actual Results: Serach results didn’t display the field column as text area.

32477023

NXT-22007

With clicking Next button dialog button not refreshed

Description:

In Popup dialogs, Next and previous button doesn’t work due to refresh issue.

32477460

NXT-22010

No base view generated for reference sheet lines

Description:

Reference sheet(line)s use a different storage structure (JSON) for the dynamic fields. The base view generator does not support that yet. So the reference sheet line columns can’t be queried using base views.

32530815

NXT-22103

ACTIVITY CONSUMPTION_IMPORT should not be triggered from IP

Description:

Invoking the activity consumption import process through activity through IP is not allowed from UI and it should not be allowed from IP as well.

32550583

NXT-22152

Baseview generation sometimes might result in error: ORA-01461

Description:

Occasionally baseview generation results in error: ORA-01461. In the event that this happens, typically resubmitting the generation process resolves the problem.

32577959

3-24972262511

NXT-22185

Claim line dynamic field not updated in correct step of claims flow

Description:

When claim Line dynamic field is updated via derivation rule in pre-pricing step, it gets updated after pre-benefits step only.

32756386

3-25620284361

NXT-22415

Data replication stops working after daylight saving time ends

Description:

After DST Daylight Saving Time ends, no new task (DataReplicationTargetSynchronization) is spawned. So, data replication stops working. This happens, for example, when the replication interval is configured as 1 minute (i.e., when the value of the property ohi.datareplication.event.retrieval.interval is set to 60).

32836861

NXT-22523

Scrollbar resets when changing the fields in fee schedule and reference sheet pages

Description:

Scrollbar resets when changing the fields in fee schedule and reference sheet pages

32867500

3-25801151221

NXT-22574

Duplicate cases get created when there is product history and past case date

Description:

Claims are pending with msg - Duplicate adjudication cases found for insurable entity. This happens when there is product history and past case date.

32894544

NXT-22614

The property change ohi.service.PolicyEnrollmentClient.client.authentication is not effective immediately

Description:

The property change ohi.service.PolicyEnrollmentClient.client.authentication is not effective immediately and requires a server restart. For example, changing the value from BasicAuthentication to None works only after the WebLogic server is restarted.

32945290

NXT-22633

Same error shown multiple times on click of save in table template pages

Description:

When there is an error shown to user while saving a reference sheet line and user clicks on save again the error message is shown twice.

32945205

NXT-22635

Referencesheetlines page shown blank when Referencesheet has flexcodesystems

Description:

For some of reference sheets(refsheets with flexcodesystem), while creating reference sheet line, the page is shown blank. And there are console errors shown.

32920927

3-25706903951

NXT-22644

Activities of type process_target_repl_events can not be restarted from the view activities screen

Description:

Activities of type process_target_repl_events are started with origin Spawned i.e. as if these originate from a parent Activity. Also, the screen does not allow restarting of the Spawned Activities; in that case the parent Activity would be restarted.

32922966

3-25735187811

NXT-22647

Fee schedule currency is updated with default currency even if the same currency already exists on it

Description:

Fee schedule currency is updated with default currency every time currency is not passed in the request even if the same (default )currency already exists on it . This leads to GEN-RULE-020 error when there are concurrent requests on the same fee schedule.

32933730

NXT-22675

In Baskets page, currency field in basket details tab should be non editable and be inherited from the currency of baskets

Description:

In Baskets page, currency field in basket details tab should be non editable and be inherited from the currency of baskets

32937513

3-25927473871

NXT-22677

Amounts in Manual Benefits are stored incorrectly

Description:

When having a Claim in status Manual Benefits and attempting to modify the amounts, OHI doesn’t store the amounts correctly, allowing a total amount higher than the benefits input amount and violating a business rule.

32945319

NXT-22689

LOV - deselect functionality is not working in first attempt

Description:

  1. Click on Lov and select a value from the list

  2. Click on Lov again and try to deselect the value by selecting blank value(first attempt) from the list Expected: Lov should should deselect the value Actual: Lov is unable to deselect and showing up the value selected in step1 3.However while doing it for second time it is working as expected

32945179

NXT-22692

Currency field disappears once the user navigates to another textbox

Description:

Go to baskets page. Add the baskets details. On adding the currency from the drop down in the basket details tab, the currency value disappears as soon as the user navigates to authorized amount text box.

32945627

NXT-22704

The SetRecalculateBenefits function fails intermittently

Description:

While trying to set the amount on claimLineRuleCoverage using setAmountManually method ,the amount is set to the desired amount on claimLineRuleCoverage. But after recalculation of benefits the amount(cover label) on claimLineCoverages is not set to the desired amount.This issue is occurring intermittently.

32987105

NXT-22789

Blank search on search list is not rendering the results in UI.

Description:

When user perform blank search on pages where search list template is used, search results are not getting rendered in UI.

32989308

NXT-22792

Sometimes JET UI pages with large number of fields might cause a bad request error.

Description:

Sometimes JET UI pages with large number of fields might cause a bad request error due to a large request header like - "Request Header Or Cookie Too Large" thereby not rendering the page. In such a case the floorplan might need to be modified to reduce the number of fields and thereby reducing the accept header size. There is an enhancement planned in 3.21.3.0.0 to reduce the accept header size.