Release Notes for Oracle Health Insurance Claims Adjudication Patch 4.25.1.0.14

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 4.25.1.0.14.

Version compatibility: Oracle Health Insurance Claims Adjudication Release 4.25.1.x is only compatible with other Oracle Health Insurance applications release version 4.25.1.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

NXT-32037

User Interface - Additional tab features

Added a “Close Other Tabs” option via a three-dot menu to close all but the active tab, auto-scroll to keep the active tab visible, and improved tab closing behavior to fall back to the previous tab when closing the last tab.

NXT-33396

Claims Search - Filter Component

This enhancement enables configuration of filter component to claims search page. Users can configure the following fields in filter:

Claim Code: likeic , checks the system property if trailing % should be included or not. Member Code: likeic , checks the system property if trailing % should be included or not. Claim Start Date : between

Documentation Links:
Developer Guide - Filter Component

Upgrade Steps for Installation

To perform the upgrade, perform the following steps:

Perform any pre-upgrade steps.
Stop all the managed nodes running the existing version of the application.
Perform any pre-undeploy steps.
Undeploy the existing version of the application.
Back up the database.
Perform any post-undeploy steps.
Unpack the release bundle into a directory that we refer to as OHI_ROOT from now on.
Change Installation Configuration: In <OHI_ROOT>/util/install, make a copy of ohi_install.cfg.template and name it ohi_install.cfg.
Edit ohi_install.cfg to contain your specific database connection data and other configuration settings. The settings are explained in the file itself.
Make sure NO connections are present to the database using the OHI_xxx_USER account (where xxx is the abbreviation of the application)
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 .
Make the required changes to the ohi properties file
Perform any post-upgrade steps
Start WebLogic application server
Deploy the Application
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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Access Restrictions

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Bug Fixes

BugDB SR Internal Summary

37908358

NXT-31535

Dynamic Record: Sort not working when there is any blank record

Description:

After adding a blank record, existing values are not sorted properly in dynamic record

Resolution:

Sort is applied when there is any blank record in multivalue fields of dynamic record

38973168

NXT-33634

Query API returns incorrect totalResults when groupBy is used

Description:

When the Query API is invoked with the groupBy parameter, the totalResults value in the response is incorrect. Instead of returning the total number of groups produced by the groupBy attribute, the response returns the total number of records matching the q attribute.

Resolution:

The Query API now returns the correct totalResults value when groupBy is used, reflecting the total number of groups produced by the groupBy attribute.

38979187

NXT-33652

CTR claims - messages pop up is not displaying priority and code and text values in claim line summary

Description:

CTR claims message pop-up in claim line summary is not displaying priority and code and text values.

Resolution:

CTR claims claim line summary message pop-up now displays priority, code and text values correctly.

38953083

NXT-33595

Floorplans - Boilerplate issue on resource field in advanced search

Description:

Boilerplate is shown in the resource LOV value in the advanced search of floorplans page.

Resolution:

Translations are applied and proper boilerplate value is displayed for Resource field

38998285

NXT-33646

Price individual Provider uses Providers LOV in claim lines

Description:

In Claimlines search page and Sub claims, Price individual provider uses providers LOV instead of individual providers LOV. Same for Price Organization Provider

Resolution:

System Floorplan is modified for Claim Lines search and Sub-Claims to use IndividualProviders as reftype for Price individual Provider and Organization Providers as reftype for Price Organization Provider

38943440

NXT-33581

Access Restriction error in CTR claim line page

Description:

Users see an Unauthorized error when the user tries to view CTR claim line due to missing access restrictions for the page

Resolution:

Seed data for function access API mapping is modified to add missing access restrictions and thus Unauthorized error will not be seen in UI

38909459

NXT-33526

A console error is observed when clearing the value of an amount-type dynamic field

Description:

In Claims, a console error is observed when the value of an amount-type dynamic field is cleared.

Resolution:

The console error is fixed and users can clear the value of an amount-type dynamic field.

38959301

NXT-33609

Widgets: Boilerplates showing in widgets

Description:

After adding the widget in dashboard page, boilerplate keys are shown instead of translations

Resolution:

Fix added to load widget translations and boilerplate values are displayed correctly

38990167

4-0001565684

NXT-33664

Formatted Name value is missing in downloaded CSV from widgets

Description:

When persons is configured as the reftype for a column in widgets, the Formatted Name value is empty in the downloaded CSV file.

Resolution:

When persons is configured as the reftype for a column in widgets, the Formatted Name value is present in the downloaded CSV file.

38954400

NXT-33597

Exchange Rate with a values less than 0.000001 is not allowed

Description:

When saving an exchange rate with a value less than 0.000001, error message "Rate should be between 0.000001 and 9999999999.999999999999" is displayed

Resolution:

Modified the validation range for the minimum exchange rate to 12 decimals.

38973520

NXT-33636

The Person API does not accept non Latin or accented characters in the local part or user name of the email address.

Description:

The Person API does not accept non Latin or accented characters in the local part or user name of the email address.

Resolution:

The Person API now accepts non Latin or accented characters in the local part or user name of the email address.

38975531

4-0001989088

NXT-33648

Status of the financial hold is not appearing in the downloaded extracts

Description:

Status is a special property in Financial Holds screen under Claims. When user performs download in this page, Status value is not visible in downloaded file

Resolution:

Status of the financial hold is shown in the downloaded extracts

38973845

NXT-33638

Claimline Applied Parameters: Formatted values are not displayed

Description:

In Claims page, Claimline Applied Parameters section, Applied Value displays: [object Object]% and Max Value displays: }}{{[object Object] day(s) instead of proper formatted values

Resolution:

Applied Value displays formatted percentage or amount and Max Value also displays formatted number or number of days correctly.

38974442

NXT-33641

Inconsistent ordering of provider pricing clauses between "Applied Pricing" dialog and "View Applied Pricing" section in claimline more section

Description:

Under the 'Applied Pricing' dialog , the provider pricing clauses are displayed in the expected order. However, when the same information is accessed via: Claim Line → More → View Applied Pricing, the provider pricing clauses are not displayed in the same order. This results in inconsistent ordering of the same pricing information across two UI sections

Resolution:

Provider pricing clauses are displayed in sorted order (sequence:asc) under 'View Applied Pricing' section of claimline more section

38925452

NXT-33554

Fee schedule lines : checkboxes are showing for each row which is not required

Description:

Since there is no bulk action in Fee Schedule Line page, "checkbox" beside each row is not required and can be removed

Resolution:

Fix added to not show checkboxes at row level

38626294

NXT-32940

Restart of failed product import consistently fails even after fixing reported missing reference data

Description:

Restart of failed product import always fails even after fixing reported missing reference data

Resolution:

Upon restarting the product import, previously failed operations are now recovered instead of creating new operations for them. Note: This bug fix applies only to product imports that fail after this resolution is deployed.

38957397

NXT-33607

Console error/403 Forbidden error in the network tab on click of the Reprocess link

Description:

When a user without proper access, tries to reprocess a claim in initial/ pricing done/benefits done status, that has failed tasks, the error message is not properly displayed in UI. Instead a loading icon is displayed indefinitely.

Resolution:

There was a console error, which was stopping the error from being displayed. Resolved that error and now error message is being displayed on the UI properly.

38969896

NXT-33625

Replaces message is not displayed for claim line which replaces other claimlines

Description:

On Original Claim line, the UI shows details of claim line that replaced it. On replacing claim line, the UI does not show any information related to original claim line it replaced.

Resolution:

Now, the UI shows the Replaces message for claim line that replaces other claim lines.

Issues that were backported in previous Release / Patch

No backports.