Release Notes for Oracle Health Insurance Claims Adjudication Patch 4.25.1.0.6

This document contains the release notes for Oracle Health Insurance Claims Adjudication Patch 4.25.1.0.6.

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-32307

UI: Ability to search for a claim based on code from claim page

This enhancement adds the ability to search for a claim using the claim code directly from the claims page. A new search field is introduced on the claim page, allowing users to enter a claim code and quickly find the matching claim.

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.

Access Restrictions

This section intentionally left blank.

Bug Fixes

BugDB SR Internal Summary

38412369

NXT-32505

Date format for English language setting is set to MM/DD/YYYY

Description:

The Date format for English language setting is set to MM/DD/YYYY instead of DD/MM/YYYY. Unsupported browser locale falls back to default en-US setting.

Resolution:

An application property 'ohi.ui.default.locale' is introduced to set the locale for unsupported language-country setting. Users can set this property if their locale setting is not supported by JET framework and if it should not fallback to default en-US setting

38488187

NXT-32678

Rename 'amount' column to 'total_claimed_amount' in Claims in Progress reporting view.

Description:

The Claims in Progress reporting view contains a column representing the total claimed amount on a specific claim. This column is named 'amount', but that could cause issues if there is a dynamic field usage on claims with the same name 'amount'.

Resolution:

The 'amount' column in Claims in Progress reporting view is renamed to 'total_claimed_amount'.

36946582

3-41621149821

NXT-30147

Index.html is added to URL after login with IDCS config

Description:

Post login, index.html is getting appended to application URL. This is observed in SAML authentication flow

Resolution:

index.html is not observed in the application URL in SAML authentication flow post fix.

38446638

NXT-32589

In-active coverage regimes are shown in the regimes LOV on the Benefit Specifications page.

Description:

Only Active Regimes should be shown in regimes LOV of Benefit specifications page

Resolution:

System floorplan is modified to filter only active regimes for coverageregime, authorizationregime, postbenefitsregime, reservationregime, waitingperiodregime in benefit specification page

38539741

NXT-32779

Access Restriction to Enable 'Benefits only' button on claim needs delete access

Description:

Delete access on claims is not needed for enabling 'Benefit Only' Button.

Resolution:

Delete access is not required for 'Benefit Only' action.

38533294

NXT-32763

Financial holds on claims page should not be dependent the claims page create access.

Description:

The Add button is not displayed on the Financial Holds page when the user does not have Create access on the Claims page.

Resolution:

Add button on the Financial Holds page is displayed if the user has Create access on Financial Holds instead of claims page

38519784

NXT-32844

Fee Schedules - Line Condition dropdown is showing all the dynamic logic

Description:

Line condition LOV is showing all the dynamic logic instead of only Fee schedule signature dynamic logic

Resolution:

System floorplan is updated with a filter for specific dynamic logic (Fee schedule). Only Fee Schedule signature dynamic logics is shown in the LOV

38526433

NXT-32734

Provider Pricing Clause Page - For PPC record with Reimbursement method as 'Diminishing Rates', object navigation page 'Diminishing Rates overrides' is not loading

Description:

Diminishing Rates Overrides object navigation page is not loading in Provider Pricing Clause Page.

Resolution:

Diminishing Rates Overrides page loads without any issues

38543545

NXT-32785

Pricing worksheets 'Last Build By' field shows Login Name instead of Display Name

Description:

After building the pricing worksheet the 'Last Build By' shows login name instead of Display Name.

Resolution:

Last Build By field now shows the Display Name in advance search, search results as well as detail page

38592491

NXT-32850

Conditional value auto population and resetting using a triggering condition with property "default" is not working

Description:

Conditional display of a field’s value is not working when a default value is set in the floorplan

Resolution:

The field is now populating and updating its value correctly based on the triggering conditions when default is set in floorplan

Issues that were backported in previous Release / Patch

No backports.