Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.22.1.0.11

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.22.1.0.11.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 3.22.1.x is only compatible with other Oracle Health Insurance applications release version 3.22.1.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

35058192

3-32082556451

NXT-26373

BP

Business rule OHI-ACRE-006 on Data Access Group for Update privilege is not preventing updates for all fields

Description:

When a user has retrieve rights on the access restriction on data access group attached to a claim, it is possible to update several fields. Error message OHI-ACRE-006 should be shown on all updates.

Resolution:

When a user has retrieve rights on the access restriction on data access group attached to a claim, error message OHI-ACRE-006 is shown on all the updates.

35037673

3-29958611621

NXT-26313

BP

Reprocessing locked claim line leads to CLA-CLLI-007 error

Description:

When we reprocess claim line which has either null covered amount or null covered number of units and system has an EIR configured at manual adjudication level , then benefits processing leads to CLA-CLLI-007 error .

Resolution:

Reprocessing locked claim lines are processed without any error now .

35064167

3-32106750331

NXT-26389

BP

Selecting all claimlines in a claim and resolve a pend for all the claimlines at once, doesn’t work

Description:

Resolving a Pend Reason for all the claimlines at once available for a claim is not working.

Resolution:

Bulk claimline pend resolution feature is modified to resolve the specified pend on all the claim lines. Note that pend will get resolved on all the lines where it is present (irrespective of the lines selected by the user) .

35080994

3-31142348479; 3-32128672291

NXT-26430

BP

Flexcodesystem and flexcodes imported through CMT set on a target environment are not correctly mapped for all the translations

Description:

When a CMT set having flexcodes values are imported, then flexcodes are not correctly mapped to their respective field usages for all the translations. They are working fine only for locale translation.

Resolution:

After this fix, when importing flexcodesystem and flexcodes with CMT, flexcodes are correctly mapped to their respective field usages for all the translations.

35077782

3-32043583961

NXT-26417

BP

Claim with multiple CTR versions should always show versions where reversal is false

Description:

A claim having multiple CTR versions sometimes display reversal amounts as negative number

Resolution:

A claim having multiple CTR versions shows the amounts where the reversal is false.

34891410

3-30739647241

NXT-26022

BP

Claims processing is slow during CMT import

Description:

If a CMT data set containing large number of items that execute dynamic logic (eg: to validate if the dynamic field is valid as per the field validation dynamic logic) are imported when claims are processed (which involves executing a number of dynamic logic during claims flow), both CMT import and claims processing become very slow because execution of dynamic logic in both CMT import and claims processing is handled inefficiently.

Resolution:

The execution of dynamic logic in both CMT import and claims processing has been optimized.

35031395

3-31827806771

NXT-26306

BP

Unable to update Activity status to 'TE' while handling unexpected exceptions

Description:

Activity status was not being updated as TE while getting unexpected exceptions during the progress of an activity. This was due to the application not being able to complete the previous transaction before updating error

Resolution:

We are explicitly committing the previous transaction before moving to exception handling to resolve the lock issue.

Issues that were backported in previous Release / Patch

No backports.