Release Notes for Oracle Health Insurance Claims Adjudication Patch 3.22.2.0.17

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 3.22.2.0.17.

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

ID Summary Patch

NXT-26997

Additional information on applied benefits

This enhancement introduces additional fields on the claim page for the evaluated waiting period, whether the waiting period was served, and benefits applied as a result.

This enhancement also introduces the ability to evaluate claim line parameters for a context waiting period logic for cases where a member has yet to serve the waiting period.

Documentation Links:
Operations Guide - Calculate Coverage and Consumption
Operations Guide - Claim Line Benefit Specifications

4.23.2.0.0

NXT-27054

Extend init condition evaluation for multivalued records in region/tab

Support Initialization conditions (initCondition) at region/tab level for multi-values records.

4.23.2.0.0

POL-12478

Exclude reference resources for generic GET operation

This enhancement introduces a new resource representation parameter excludereferenceresources. When set to true, it excludes the list and reference resources from the generic GET response.

Additionally, for the search requests originating from UI, excludereferenceresources is set to true, that is, to retrieve only the required details.

Documentation Links:
Developer Guide - Exclude reference resources

4.23.2.0.0

POL-13467

Improvements on the persons page

This enhancement introduces a new object navigation link on the persons page to maintain person covered services.

4.23.2.0.0

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

Ref Action Description

NXT-26997

Modified

Claim Line Benefit Specifications API

Created the attribute evaluationResult

NXT-26997

Modified

Ctr Claim Line Benefit Specifications API

Created the attribute evaluationResult

Data Conversion

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Dynamic Logic

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UI Changes

Ref Action Description

NXT-26997

Modified

Claims Page

The regime evaluation result is added to the applied benefits section of the page. Also, the applied parameters show the actual values that were applied

NXT-27054

Added

Applicable to any page configured with init condition

InitCondition should support for Multi-value records when added in Region/Table.

POL-13467

Modified

Persons

Removed covered services tab from the persons floorplan. Added Person covered services as an object navigation

Breaking Changes

Ref Action Description

POL-13467

Modified

Persons

It is not allowed to re-configure person covered services as a tab on the persons page, as they are now available as a separate object navigation page.

Bug Fixes

BugDB SR Internal Summary

36203955

3-34786906091

NXT-28542

Dynamic logic byte code is not loaded during server startup on non master nodes after invalidateall IP is invoked

Description:

Dynamic logic byte code is expected to load at the startup of non-master nodes if the invalidateall API was invoked in master node but was not being observed.

Resolution:

Dynamic logic byte code is now loaded at the startup of non-master nodes if the invalidateall API was invoked in master node.

35878079

3-34410216941

NXT-27809

Non-selective criteria in reference objects cause OHI to load too many objects in memory.

Description:

Non-selective criteria in reference objects cause OHI to load too many objects in memory.

Resolution:

Non-selective criteria in reference objects now only load two objects in the memory, which will not cause the memory protector to kick in.

Issues that were backported in previous Release / Patch

No backports.