Release Notes for Oracle Health Insurance Claims Adjudication Patch 4.23.1.0.9

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 4.23.1.0.9.

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.

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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Breaking Changes

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Bug Fixes

BugDB SR Internal Summary

36856503

3-37321216841

NXT-29926

Unable to close a Deeplink drawer in search object pages

Description:

When a Deeplink is configured in a search page, the corresponding drawer opens but the user is unable to close the drawer using the close icon. The page also throws an error.

Resolution:

The user can configure a Deeplink drawer in a search page, opening and closing the drawer works as expected using the buttons provided.

36760118

3-37140647951

NXT-29639

Retrieval access restrictions Brand/Payer

Description:

Retrieval access restrictions for Brand/Payer are not present in API, when the brand/payer is restricted, you can get the claim with the API

Resolution:

We have added brand and payer access restriction on retrieval of a claim and its related entities such as claimLine, claimMesssage, claimLineMessage, etc. Now these records will not be accessible through API without proper access roles granted to the user.

36912508

3-37508455711

NXT-30057

Member based search on adjudication limit counters with member having large number of person covered services is not returning the results

Description:

Member which is having large number of person covered services, is not returning the results in adjudication limit counters page

Resolution:

Member based search on adjudication limit counters works now even for member having large number of person covered services

36651709

3-36632413411

NXT-29415

Validation for claim line message isn’t working while trying to add multiple claim lines.

Description:

Validation for claim line message isn’t working while trying to add more claim lines. UI allows user to save a claim line without message attached.

Resolution:

Validation gets triggered for claim line message while trying to add claim line

36908608

3-37579890441

NXT-30039

Manual benefits page does not show the coverage labels and amounts

Description:

Manual benefits page does not show the coverage label, amount and numberOfUnits fields while opening the ManualBenefits dialog for every claimline.

Resolution:

Values for coverage label, amount and numberOfUnits fields are shown in Manual Benefits dialog.

37030529

3-37895611261

NXT-30278

Hovering on procedure does not bring up procedure popup tail on claim line for a finalized claim.

Description:

Hovering on procedure does not bring up procedure popup tail on claim line for a finalized claim.

Resolution:

Hovering on procedure does brings up procedure popup tail on claim line for a finalized claim.

36790813

3-37240843681

NXT-29686

4.23.1 - Reference sheet lines page is displaying only 20 records

Description:

Reference sheet lines are not showing more then 20 records on scroll

Resolution:

36306257

3-35610906906

NXT-28772

Activities are not getting marked with TE status when system runs into critical memory state

Description:

When extract activity threw "TooManyRequestsException" exception, the activity status did not change to TE. But the trace file got created. Such activities stay in 'IP' status forever until restart happens.

Resolution:

When activities fails due to memory issue, the status of the activities are now updated via the native query.

37056643

NXT-30317

Inbound & outbound exchange: Action items like build, message, download missing

Description:

The inbound and outbound exchange is missing key action items such as build, message, and download.

Resolution:

Action items like build, message, and download are now present and can be triggered on the respective pages in the inbound and outbound exchange.

36934054

3-37502780451

NXT-30100

In claims financials screen, payment details are not displayed

Description:

Users are not able to see/ edit the following in Claims JET UI: 1. Payment section 2. Edit due date under fields 3. Edit bulking group in the invoice section

Resolution:

Payment Information Sections displays data now, edit is possible for due date and bulking group in invoice section Note : Refresh action is added in Overview page to see updated information

36841300

NXT-29895

Messages don’t return the variable details

Description:

Messages don’t return the variable details in claim header summary and drawer, even though they are being returned by API

Resolution:

Messages display the variable details in claim header summary and claimline summary drawer

36844354

3-37314698941

NXT-29899

Unable to add claim subline on a claim line

Description:

For a claim, unable to add claim sub line under a claim line.

Resolution:

User can now add claim sub line from UI and API.

Issues that were backported in previous Release / Patch

No backports.