Release Notes for Oracle Health Insurance Claims Adjudication Patch 4.24.1.0.1

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 4.24.1.0.1.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 4.24.1.x is only compatible with other Oracle Health Insurance applications release version 4.24.1.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

ID Summary Patch

POL-15792

Optimize loading of SVNTV fields into the memory during extracts

Currently, the system loads all the Single Value Non-Time Valid(SVNTV) dynamic fields associated with resources into the memory which causes OOM. Only the required SVNTV dynamic fields should be loaded into memory while processing the extracts.

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

37014435

3-37140647951

NXT-30265

Retrieval access restrictions Brand/Payer missing for CtrClaims and related entities.

Description:

Retrieval access restrictions for Brand/Payer are not present in generic API. When the brand/payer is restricted, a user can still get the CtrClaim and its related entities with the API.

Resolution:

Brand and payer access restriction have been added on retrieval of a ctrclaim and its related entities such as ctrclaimLine, ctrclaimmesssage, ctrclaimlinemessage, etc. Now these records will not be accessible through API without proper access roles granted to the user.

36987811

NXT-30208

Inbound Benefits/Products(Http) : Console error on Download Response Files

Description:

When a user tries to download a response file on the Inbound Benefits/Products (Http) page, the download does not go through and results in a console error

Resolution:

The user must ensure the appropriate response file has been imported. The download now goes through and there is no console error.

37052626

NXT-30312

ID of single-valued flex code is returned as "null" in the generic API response

Description:

ID of single-valued flex code is returned as "null" in the generic API response.

Resolution:

ID attribute of single value flex code is now excluded from the generic API response.

36946559

3-37639583021

NXT-30145

Init conditions not working on initial page load in table

Description:

User have a condition that a field must be hidden while another field has no value. This condition is not being met when trying to enter the first record. Once user enter values to the field that has the condition, the condition then starts working when adding/modifying other records.

Resolution:

Init conditions works as expected on initial page load in table both for a new row added and while editing existing row

36962127

3-37528423954

NXT-30178

Data points missing under claims pricing tab

Description:

Claims Pricing tab needs to be restructured with the following changes:

Description to be added under set 1 of applied provider pricing clause tab. Deeplink needs to be enabled for Type field placed under title. Provider Pricing Clause should be displayed with deeplink enabled.

Resolution:

Claims Pricing tab is restructured to display more information and deeplinks

36993980

3-36499732951

NXT-30221

Action of limit is not getting applied for Claim Line Limit for Reservation claim

Description:

Action of limit is not getting applied for Claim Line Limit for Reservation claim when arg3 in predefined method claimLine.setClaimLineLimit is null.

Resolution:

If the reached action is null, then system will search if any non null value exist for reached action ( as per priority). If a Non null value exist then that will be used for limit action (as per priority).

36993984

3-36392583761

NXT-30222

Internal system user is used for resolving the claim pends via pend resolution batch IP

Description:

When pend reasons are resolved by the pendresolutionbatch IP, internal system user is used for resolving the claim or claim line pends. This causes the IP to fail when access restricted pend reasons are resolved. Current user should be used to resolve the pends via pend resolution batch IP.

Resolution:

Instead of System User , the information of user who triggered the pend resolution batch IP will now be used for resolving the pend.

36926778

3-37575252321

NXT-30083

Financial message generation fails with ORA-06502: PL/SQL: numeric or value error: number precision too large.

Description:

The financial message generate step is erroring out when the fin_base_financial_objects id is greater than 14 digits as the ohi_id_code_rec_tp still has id column definition as number (14,0)

Resolution:

Should generate financial message without any error. DB type ohi_id_code_rec_tp ID column definition changed to number (19,0).

36962412

3-37656947111

NXT-30179

Flexcode field does not save null value when updated

Description:

When Empty/Null value is selected from flexcode dropdown and page is saved , the PATCH payload should have null value set for the flexcode field

Resolution:

Flexcode field values can be cleared and set to null value in JET UI page

36946565

3-37468227341

NXT-30146

Few columns are not converting to PT language

Description:

The following tranlsation issues are noticed: Navigate to claims page - click on add card - code and description are not translated to PT language in Add widget. Bookmarks, Alias & Remarks is not translated to PT in the menu. Informative message is not translated to PT language. Claim History is not translated to PT in claims. Activities should be translated to PT under Operations menu.

Resolution:

Fields are translatable to PT language now.

36977435

NXT-30200

Remove Copy from Global activities details page

Description:

Copy action should not be shown for view only details pages

Resolution:

Copy action is not shown for view only details pages

37004575

NXT-30249

Boilerplate issue at view activity page of large claim.

Description:

Boilerplate issue at view activity page of large claim.

Resolution:

Labels are showing properly in View activity page of Large Claim.

37110389

NXT-30435

Popuptail is Displaying Title as "Default" in All Popups Regardless of Resource

Description:

PopupTail is displaying Title as "Default" in all popups regardless of resource. "Default" is displayed for most popupTails but for certain Resources from the JET code we display them as Procedures, Providers ie ResourceName, etc(from a fixed list)

Resolution:

Popuptail displays the Title as per the resource name.

37015988

NXT-30268

Messages LOV doesn’t show data properly on add message pop-up

Description:

Messages LOV when selected occupies the entire page, hiding many fields.

Resolution:

Messages LOV display width is reduced and is now displayed similar to other LOVs.

37004585

NXT-30250

Submitting a group from the tab resolved the pends automatically

Description:

Currently, we are able to successfully process a subclaim which has unresolved pend reasons and subclaim is moving to Finalized status and large claim is in status In Process. We should not be processing subclaim which has unresolved pend reasons.

Resolution:

During submit, if there are any unresolved pend reasons on subclaim(s) then further processing of that subclaim will not happen and this results in large claim failure, indicating the unresolved pends. Failed activity can be restarted after resolving the pends

36997405

NXT-30232

Claims Line Tab: More drawer details are not displayed completely

Description:

Click on More link in claimlines tab so that drawer opens with the details. It is seen that some of the sections are not displayed completely

Resolution:

Alignment issues are fixed in claimlines section More drawer and information is displayed completely

Issues that were backported in previous Release / Patch

No backports.