Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.21.3.0.7

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.21.3.0.7.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 3.21.3.x is only compatible with other Oracle Health Insurance applications release version 3.21.3.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-22639

The pricing and benefits steps in the claims have been tuned.

Group membership (both for diagnosis and procedure) is now faster. The functionality did not change.

NXT-24452

Extensibility: Additional Fields on Provider Identifier

The number of dynamic fields on the Provider Identifier table is extended: 20 Char fields (adding 15) 5 Number fields 20 Date fields (adding 15) 50 Flex fields (adding 45) 5 Prov 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.

Stage: post-undeploy

Action: Grant additional privilege to OWNER Schema

The following steps are to be performed before running the upgrade script:

Please run the following SQL statement as SYSTEM user

GRANT CREATE TRIGGER TO OHI_CLAIMS_OWNER;

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

33887195

NXT-24290

BP

Sometimes newly created policy product is not visible in time for next tasks

Description:

Sometimes newly created policy product after gathering enrollment information is not attached to claim in time for it to be available for future calls .

Resolution:

We make sure that the policy product is attached to claim for subsequent callers

33889447

NXT-24323

BP

JET UI: ENVIRONMENT IDENTIFIER nOT SHOWN IN PAGE HEADER

Description:

ENVIRONMENT IDENTIFIER NOT SHOWN IN PAGE HEADER

Resolution:

Environment identifier is shown in page header

33904819

3-28693520321

NXT-24336

BP

JET UI: Submit claim action gets stuck

Description:

If a claim is submitted for processing in the JET UI, a pop message is shown that the claim was submitted successfully, but the "processing request" popup page remains open even though the claim gets into a pended or finalized status.

Resolution:

Once the claim is processed, the processing request pop up will also be closed.

33905346

3-28720438331

NXT-24339

BP

JET UI: Reservation claim line is not displayed correctly

Description:

Reservation claim line is not displayed correctly

Resolution:

Reservation claim line information is displayed correctly in claims JET page

33915977

NXT-24358

BP

Dynamic record (MVNTV) on claimline is not displayed correctly on claims page as the width is not auto-adjusting

Description:

When a MVNTV is configured in floorplan of claimline, which can take large values, fields are overlapping with one another.

Resolution:

Large MVNTV fields will now auto adjust according to width.

33938529

NXT-24375

BP

Date format mentioned in 'Primary Date Format' for the default country selection is not reflecting in JET UI.

Description:

When a primary date format is mentioned for the default country, the date format in JET UI should be the same as the format specified for the default country or set it to default format 'dd-MM-yyyy' in case not specified. Currently, date format is always 'MM/dd/yy'.

Resolution:

Date format mentioned in 'Primary Date Format' for the default country is used to display date fields in JET UI

33966515

NXT-24397

BP

Routing slips get checked while creating a claim even when it wasn’t checked on the create claim page.

Description:

Routing slips get checked while creating a claim even when it wasn’t checked on the create claim page.

Steps - 1. Create a basic claim with all mandatory fields. Notice that all the routing slip checkboxes are unchecked.

Result - When the claim is created some of the routing slips are checked.

Expected - It should only check the routing slips as per the create claim.

Resolution:

Routing slips get checked only if selected by user while creating a claim in JET Claims page

Issues that were backported in previous Release / Patch

No backports.