Release Notes for Oracle Health Insurance Claims Adjudication Patch 4.23.1.0.1

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 4.23.1.0.1.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 4.23.1.x is only compatible with other Oracle Health Insurance applications release version 4.23.1.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.
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

This section intentionally left blank.

Web Services

This section intentionally left blank.

Data Conversion

This section intentionally left blank.

Dynamic Logic

This section intentionally left blank.

UI Changes

This section intentionally left blank.

Breaking Changes

This section intentionally left blank.

Bug Fixes

BugDB SR Internal BP Summary

35700098

NXT-27485

BP

Dynamic logic cache reloads every time on business cache invalidation even if there is no dynamic logic update

Description:

Dynamic logic cache uses a business process cache which is invalidated on any change in configuration entities (that implements ProcessCacheInvalidating) even though there is no change in dynamic logic itself . On invalidation of the cache , byte code is loaded again for all the dynamic logic which is CPU intensive and can slow down other processes running in parallel during the class loading .

Resolution:

Now , the cache invalidation and reloading happens only on change in dynamic logic entity.

35709574

3-33964183741

NXT-27494

BP

Activity Message is lost when generate financial message activity is recovered

Description:

Activity message (ACT-FL-DAFI-001) is lost when generate financial message activity is recovered

Resolution:

The activity message is ACT-FL-DAFI-001 is removed when the recover process starts, but if the error persists during reprocess of the activity then the messages is recreated.

35722569

NXT-27517

BP

Financials page :Once a hold is expired or released, the row should not be editable

Description:

In Financial Holds page, once a hold is expired or released, the row shouldn’t be editable

Resolution:

If status is released or expired , financial hold rows are in read-only mode

35726305

NXT-27523

BP

Messages Drawer is not loading results in draft provider pricing clause page.

Description:

When clicked on invalid link on errored DPPC records, the messages drawer that opens up does not load any results and shows as loading indefinitely.

Resolution:

When clicking on invalid link on errored DPPC records, the message drawer that opens up shows all the messages linked to that record.

35731084

NXT-27536

BP

Flex code fields with search criteria not loading correct LOV values

Description:

Flexcodes LOV doesn’t load correct results when searching with criteria. Query constructed had a missing parenthesis to group 'and' and 'or' conditions

Resolution:

Search query is constructed properly for flexcode lov and expected results are shown

35733356

3-33917283371

NXT-27539

BP

Message parameters configured as {…​} is not being replaced with parameter values.

Description:

Message parameters are not being replaced with parameter values when the parameterized string is used as {…​}

Resolution:

Message parameters are replaced with appropriate parameter values in the same message when the parameterized string used is {…​}

35766953

NXT-27630

BP

Slowness observed in claims processing

Description:

The query to find claims lines for duplicate check also considers linked relations now . With this change , there was slowness observed in claims processing .

Resolution:

Claims should process efficiently as before .

35767231

3-34060667661

NXT-27644

BP

Search bar disappears when floorplans with different quick search attributes having criteria are switched.

Description:

When two search floorplans are configured on a page with different quick search attributes and the search is made on the non-common field among the floorplans, the search bar disappears.

Resolution:

The search criteria and sort criteria are cleared when the floorplans are switched to allow entering fresh search and sort criteria.

35794256

NXT-27698

BP

Issue with Diacritics search with special characters

Description:

While performing diacritic search with special character followed by A (stop list or Stop word). the search ended up with unknown result set. The list for various language is as mentioned below.

Resolution:

The issue seems to be with the behavior of Oracle text index with Stop list and Stop word functionality when these stop list words are used along with special characters then the same will not be indexed and leads to this behavior. The same has been fixed by modifying the index metadata.

35794870

NXT-27701

BP

Memory leakage with coherence processing pattern

Description:

DHL observed performance issues with activity processing, many of the activities got stuck while processing due to OOM.

Resolution:

Memory leaks are fixed in coherence.

35800361

3-34207093491

NXT-27715

BP

Adjudicaiton limit counters does not show all limit consumptions

Description:

When there are more than 50 consumptions under a counter, API returns only first 50 consumptions.

Resolution:

User can now access all the consumptions without limit.

35820630

NXT-27733

BP

Routing slips 'PRICINGDONE' and 'PREPROCESSING' are not reset during the automatic reprocess of the claim

Description:

We see that a Pend Rule with Reprocess delivers an (unexpected) different result compared to a Manual Submit of a similar Claim, this is because of the routing slips 'PRICINGDONE' and 'PREPROCESSING' are not reset

Resolution:

'PRICINGDONE' and 'PREPROCESSING' routing slips are now reset during the automatic reprocess of the claim

35834881

NXT-27746

BP

Quick search And mode: Unable to search using quick search And mode text box, when widgets are added

Description:

In claims(landing) page, do a quick search using And mode text box, check if you are able to enter any value. Now click on "Add card" and add few widgets. Refresh the page and login again. Again try to do a quick search using And mode text box, check if you are able to enter any value. On clicking quick search, And mode text box is not shown.

Resolution:

Quick Search popup opens when widgets are enabled.

35839913

3-32026064771

NXT-27751

BP

Performance issue when updating the status of base financial objects in generate financial messages activity under high concurrency

Description:

High wait event "enq: TX - allocate ITL entry" occurs when updating the status of base financial objects to 'FM' in generate financial message activity under high concurrency and this causes the activity to run very slow

Resolution:

update base financial object at the end of parent activity instead of updating after every child activity. This should minimize the number of sessions opened for the update.

35860963

NXT-27784

BP

Clicking the 'Cancel' button, the 'Confirm Cancel' dialog doesn’t close

Description:

When user clicks the 'Cancel' button, the 'Confirm Cancel' dialog remains on screen and nothing happens in Activity page

Resolution:

When clicking the 'Cancel' button in the 'Confirm Cancel' dialog, the dialog disappears and user is redirected to the Create Activity screen.

35876769

NXT-27798

BP

Datafile Link Query Improvement

Description:

This fix improves the performance of the datafile query by returning the datafile link using message code/datafile code.

Resolution:

Improved the query performance to generate datafile links

Issues that were backported in previous Release / Patch

No backports.