Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.22.2.0.1

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.22.2.0.1.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 3.22.2.x is only compatible with other Oracle Health Insurance applications release version 3.22.2.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

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
34650859	3-30727204301	NXT-25488	BP	Custom lov poceduregroupdetails is not working in claimlines page
Description:		Create a record definition (ex: medication) with record-fields (medicationName, otherMedication of type char-100). Create ProcedureGroupDetailsLOV floorplan with title property Procedure.descr3. Use the record field medicationName as LOV on proceduregroupdetails. It is not saving the medication name
Resolution:		The dynamic record usage values are saved and works as expected when it is configured as LOV on proceduregroupdetails
34791257		NXT-25720	BP	Claim Line Summary for Approved claimline shows Fatal error for 1-2 seconds if opened after Denied Claim line Summary and then the respective drawer gets mis-aligned
Description:		Click on Claim Line Summary of 'Denied' claim line, which will show FATAL errors. Then click on Claim Line Summary of 'Approved' claim line, which displays FATAL error for sometime and then in 1-2 seconds, error goes away but respective drawer is mis-aligned
Resolution:		Claim Line Summary drawer for Approved claim lines behaves consistently when switching between denied claim lines
34866934		NXT-25951	BP	Display never not working for dynamic fields mentioned in floorplan when autoinclude is set to yes
Description:		Dynamic field is shown in persons page UI and able to edit it in extensibility drawer, even though the property is added to the floorplan and display attribute is set to never.
Resolution:		Dynamic field is not shown in extensibility drawer when configured in the floorplan and display 'never' is set
34868046		NXT-25959	BP	Additional Fields: Apply and Cancel buttons are shown in View mode
Description:		Apply and Cancel buttons are shown in View mode in additional fields drawer
Resolution:		Apply button is not shown in view mode in additional fields drawer
34868555		NXT-25961	BP	Zip files cannot be imported on Mac and Linux
Description:		File cannot be imported using Mac and Linux. This is a common issue observed with file upload component
Resolution:		It is possible to import Zip files on Mac and Linux.
34870001	3-31210906991	NXT-25963	BP	Custom boilerplates are not working for claim line details view page
Description:		When user configures custom boilerplates for Claim line details view page floorplan, custom boilerplates are not getting rendered in the UI.
Resolution:		Custom boilerplates configured in claimline floorplan are shown with proper text in UI
34871347		NXT-25970	BP	Additional Fields: Cancel button is saving the data.
Description:		Create a new claim and click on additional fields. Save few additional fields. Now edit the additional fields and click on cancel. New changes are getting saved
Resolution:		On click of cancel, the values in the additional fields drawer move back to prior state if there are any changes made.
34871991		NXT-25974	BP	Add to Floorplan - Next button is not responding
Description:		Create a usage Field and click on add to floor plan. Select custom Floor plan and click on next. Select the set and select 'Create new tile'. Now Next button is not responding
Resolution:		Next button is working fine in Usages page when Add To Floorplan action is performed
34872470		NXT-25979	BP	Delete on a new row should remove additional fields overflow section as well
Description:		Product Limits tab: Add new row. Then click on Delete. It should additional fields overflow section as well.
Resolution:		Delete on a new row removes additional fields overflow section as well
34872502		NXT-25980	BP	Episodes page - pop-up alignment issue
Description:		Episodes page - If you hover over an insurable entity the pop-up shows in left corner and outside the page
Resolution:		Episodes page - hovering over insurable entity, the pop-up shows in the page and not outside the page context
34873114		NXT-25984	BP	Additional Fields Drawer in JET pages : Single value non-time valid fields are not persisting after save
Description:		SVNTV fields are not getting saved when values are provided in Additional Fields drawer
Resolution:		Single value non-time valid fields in Additional Fields drawer in JET screens are persisted with values specified by user, on save action.
34874801		NXT-25986	BP	Unsaved pop up message is showing when we click on add button in few pages
Description:		On clicking of add button unsaved pop up showing. Pop-up is also shown while scrolling to fetch more rows. The issue doesn’t occur if we add new rows without doing a blank search
Resolution:		Unsaved pop up message doesn’t show when we click on add button in table pages
34885737	3-31391733371	NXT-26003	BP	OHI accepts dynamic field numeric content of 13 digits while 12 is defined as max. length
Description:		When a Field Definition is created as type 'Number' with a specific length, with no Decimal value, and when value is assigned to it from the specific page, it accepts a number of lengths one more than the specified value.
Resolution:		Field Definition of type 'Number' accepts correct length even with no Decimal value.
34887120	3-31111068731	NXT-26012	BP	"Add message" action on claim line level ( dialog) should not allow for empty message
Description:		"Add Message" action on claim line level ( dialog) should not allow for empty message. The add message functionality (that cannot be influenced on the floorplan) should require a message to be selected.
Resolution:		"Add Message" action on claim line level ( dialog) will not allow for empty message. A message should be selected mandatorily
34888776	3-31414189871	NXT-26013	BP	Advanced search on 'createdBy' not working in claims page
Description:		When trying to implement advanced search for a claim based on the claim created by. After developing the LOV on users, which will show displayName when id of the user will passed. Query API created is not correct and returns error.
Resolution:		Advanced search on 'createdBy' works fine in claims page
34888865	3-31264277391	NXT-26014	BP	Claim pend history does not reflect the user that resolved the pend
Description:		When viewing the pend reason history of a claim, the "resolved by" does not reflect the user that actually resolved the pend. Instead it reflects the user that submitted the claim for further processing.
Resolution:		PendReason 'resolvedBy' user information is displayed in history drawer for claim and claimline pendreason
34891400	3-30739647241	NXT-26021	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.
34894812	3-31049172121	NXT-26027	BP	Error while processing a claim in manual benefits status from postman
Description:		While processing a claim, 'IllegalArgumentException: AddMessage function unavailable in the current context' error is raised on derivation rule dynamic logic execution if dynamic logic calls addMessage predefined method internally.
Resolution:		Added message context before executing derivation rule.
35026279	3-31464688761	NXT-26030	BP	Claim history panel issues for ctr version of claim.
Description:		There are few issues around the claim history panel such as CTR history not showing all the statuses and the time stamp shown for the status for CTR claim is wrong.
Resolution:		Claim history panel changes done as part of this bug: • Records are ordered by field "dateTime". • Removed claim status history selector. • The default behavior is to show recent cycles. • Prior cycle selector is the first selector. • Date time : timestamp is shown Ctr History panel changes as part of this bug: • Removed status history selector. • All statuses are shown as returned by API. • Removed prior cycle selector. Records are ordered by statusDateTime descending.
34907854		NXT-26045	BP	Procedure Group Page: Table is not loading when navigating to object navigation 'Procedure Group Details'
Description:		The table is not loading when navigating to object navigation 'Procedure Group Details' on the 'Procedure Group' page.
Resolution:		'Procedure Group Details' on the 'Procedure Group' page is loaded when navigating between object navigation links
34909767		NXT-26050	BP	Context string enclosed in single quote gives API error
Description:		Search query formed when context string has a trailing space leads to API error. Search Query Expected is for example "q": "groupClient.code.eq('TEST ')" but actually is 'q": "groupClient.code.eq(''TEST '')"
Resolution:		Search performed without errors when context string has a trailing space as well
34911396		NXT-26053	BP	Apply button is not responding in additional fields drawer when mandatory dynamic records are configured
Description:		Make a Dynamic Record as mandatory from usages page. Create a new claim and click on additional fields drawer. Apply button is not responding, when checked the console we have a error to fill in the Extensibility tab level
Resolution:		Apply button in additional fields drawer works fine with mandatory dynamic records configured
34911610		NXT-26055	BP	Field with SVTV Flex code & mandatory are not responding in additional fields drawer
Description:		Create SVTV Flex code which is mandatory for Enrollment products and fill the data for this field in the additional fields drawer, still we get the error to fill the data
Resolution:		SVTV Flex code field values can be added without any error in additional fields drawer
34921600	3-29584669481,3-31267385791	NXT-26080	BP	OptimisticLockingException when updating lastlogintimestamp of the user
Description:		Updating lastLoginTimestamp is controlled by a system property ohi.ws.last.login.update.threshold i.e the lastLoginTimestamp is not updated if the user logs-in multiple times with in the same hour.But if there are concurrent requests next second after this hour, both the API/IP requests try to update the same user record, system throws 500 error in this case. This causes problem in updating the LASTLOGINTIMESTAMP
Resolution:		Error thrown by the system is ignored in case there are concurrent requests to update the same user record. The LASTLOGINTIMESTAMP will be set according to the first request that updates the user record amongst all the incoming concurrent requests.
34942494	3-30886340351	NXT-26093	BP	JetUI- provider search is taking around 30sec average to load a provider in the claim form
Description:		Provider search which appears in several sections in the claim like service provider, referral provider (as applicable) takes an average of around 30sec ( 37sec-27sec) response time.
Resolution:		Added function based index on REL_PROVIDERS table NAME column in claims application to improve performance.
34950188	3-30739753241	NXT-26109	BP	OHI allows to resolve pend while user does not have corresponding access restriction
Description:		OHI ADF screen allows to resolve claim line pend reason when user does not have access grants to resolve the pend. This happens only when the claim is re-processed. When the claim is processed for the 1st time, the applicable error message is shown.
Resolution:		OHI ADF screen does not allow to resolve the claim line pend reason when user does not have access grants to resolve the pend even when the claim is processed for the 2nd time.
34954899		NXT-26117	BP	Contracted procedures are not sorted on code if number of records are less than 150.
Description:		Contracted procedures are not sorted on code if number of records are less than 150.
Resolution:		Sorting is applied now.
34962689		NXT-26138	BP	typeJET field in product limits tab of products page doesn’t display value
Description:		typeJET custom property in product limits tab of products page doesn’t display value and leads to console error
Resolution:		typeJET field in product limits tab of products page displays proper value
34974184	3-31809029671	NXT-26186	BP	ClaimStatusHistory API doesn’t return any response for the claims created from JET UI
Description:		'claimstatushistory' API returns response for the claims created from ADF UI but not for the claims created from JET-UI. created a claim from JET UI with the below payload and 'claimstatushistory' API for the created claim responds with 204.
Resolution:		ClaimStatusHistory for a claim in ENTRY state is now created from the backend.
34974818		NXT-26189	BP	When the value of claim is undefined in adjudication cases, the user is unable to download the file.
Description:		When the value of claim is undefined, the user is unable to download the file.
Resolution:		The download feature in adjudication details is working as expected.
34977394		NXT-26196	BP	Floorplan changes for Auto Include Extensibility.
Description:		The floorplan page allows auto include extensibility to set to be true and also existing floorplans have auto include extensibility set to true for templates other than SEARCH TABLE, VIEW EDIT LIST and VIEW EDIT HIERARCHICAL RECURSIVE.
Resolution:		All the existing floorplans of templates other than SEARCH TABLE, VIEW EDIT LIST and VIEW EDIT HIERARCHICAL RECURSIVE have auto include extensibility flag set to false and also while creating new floorplan, it conditionally displays the auto include extensibility based on the template.
34981363		NXT-26219	BP	Boolean fields with NULL value should display blank in UI
Description:		Boolean fields are not getting downloaded when displayed as No in UI but are blank when downloaded. Boolean fields with NULL values needs to be displayed as blank rather than 'No' in UI
Resolution:		Boolean fields with NULL values are displayed as blank rather than 'No' in UI
34982463	3-30270443091	NXT-26228	BP	Table stats for pri$fee_schedule_lines is gathered for all child activities concurrently
Description:		Table stats for pri$fee_schedule_lines is gathered for all child activities concurrently .
Resolution:		Gather table stats once for all the child activities .
34987897		NXT-26248	BP	Internal caching has been optimized
Description:		Internal caching structures were holding references to other structures too long, leading to too much memory consumption
Resolution:		The references are removed, making it possible to reuse the memory
35013727	3-30452029991	NXT-26270	BP	Limit from product benefit specification is not selected on recalculation of coverage from manual benefits.
Description:		Limit from product benefit specification is not selected on recalculation of coverage from manual benefits .
Resolution:		Now this will be resolved. We are adding the limits during recalculation and limit consumptions are updated accordingly .
35037750	3-29958611621	NXT-26314	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 .
35058181	3-32082556451	NXT-26372	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.
35064157	3-32106750331	NXT-26388	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) .
35077779	3-32043583961	NXT-26416	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.

Issues that were backported in previous Release / Patch

No backports.