Release Notes for Oracle Health Insurance Enterprise Policy Administration Patch 3.22.1.0.1

This document contains the release notes for Oracle Health Insurance Enterprise Policy Administration Patch 3.22.1.0.1.

Version compatibility: Oracle Health Insurance Enterprise Policy Administration Release 3.22.1.x is only compatible with other Oracle Health Insurance applications release version 3.22.1.x unless explicitly stated otherwise.

As per the Service Description, you are obligated to request a service upgrade within 90 days of this release being generally available (GA). In line with the Oracle Cloud Services Pillar document, Section 4.2.2 End of Life, this release will be EOL in 12 months.

Enhancements

ID	Summary	Description	Included in Patch
POL-10396	Additional Tier Determination Settings	Currently, the system determines the policy tier based on the reference date, typically configured to be the 1st of the calendar month. The tier is determined by ever policy enrollment with a policy enrollment product for the tiered product that is active on the 1st. This enhancement introduces more granular settings that support the following use case where Members that were added to the policy on or after a configured day of the month, do not count towards that month’s tier determination Members that were termed on the policy on or before a configured day of the month, do not count towards that months tier determination	3.21.2.0.10
POL-10400	Enable Parameters for Multiple Currencies	This enhancement removes the restriction that all amount parameters, such as co-payments and deductibles, that are linked to an enrollment product, have to be of the same currency. The enrollment product field that controls the currency is removed.
POL-9791	Introduced a new create policy mutation flag on registrations which forces the process registration long running process to create a policy mutation of type re-calculation	Introduce a new control feature for the Process Registrations long running process to force recalculation. This is achieved by: - Adding a new indicator on the registration entity that indicates if a policy mutation is to be created - If the flag is set to Y, create a policy mutation of type recalculation even when the payment is processed for the expected date and for the expected amount

Summary

Description

Included in Patch

POL-10396

Additional Tier Determination Settings

Currently, the system determines the policy tier based on the reference date, typically configured to be the 1st of the calendar month. The tier is determined by ever policy enrollment with a policy enrollment product for the tiered product that is active on the 1st.

This enhancement introduces more granular settings that support the following use case where

Members that were added to the policy on or after a configured day of the month, do not count towards that month’s tier determination Members that were termed on the policy on or before a configured day of the month, do not count towards that months tier determination

3.21.2.0.10

POL-10400

Enable Parameters for Multiple Currencies

This enhancement removes the restriction that all amount parameters, such as co-payments and deductibles, that are linked to an enrollment product, have to be of the same currency. The enrollment product field that controls the currency is removed.

POL-9791

Introduced a new create policy mutation flag on registrations which forces the process registration long running process to create a policy mutation of type re-calculation

Introduce a new control feature for the Process Registrations long running process to force recalculation. This is achieved by: - Adding a new indicator on the registration entity that indicates if a policy mutation is to be created - If the flag is set to Y, create a policy mutation of type recalculation even when the payment is processed for the expected date and for the expected amount

Configuration Properties

This section intentionally left blank.

Web Services

Ref	Action	Subject	Description
POL-10396	Modified	Premium Calculation	Tier detemination
POL-11021	Modified	sampleprocessandapplyregistrations IP	Added new optional header parameter "calculationResults" (boolean), default true.
POL-11029	Modified	Write Policies IP	In matching persons and policies on identifiers in write policies IP, the check on access restrictions on those identifiers is omitted.
POL-9791	Modified	Registration Import IP	Added optional attribute createPolicyMutation to Registration
POL-9791	Modified	registrations API	added optional attribute createPolicyMutation

Ref

Action

Subject

Description

POL-10396

Modified

Premium Calculation

Tier detemination

POL-11021

Modified

sampleprocessandapplyregistrations IP

Added new optional header parameter "calculationResults" (boolean), default true.

POL-11029

Modified

Write Policies IP

In matching persons and policies on identifiers in write policies IP, the check on access restrictions on those identifiers is omitted.

POL-9791

Modified

Registration Import IP

Added optional attribute createPolicyMutation to Registration

POL-9791

Modified

registrations API

added optional attribute createPolicyMutation

Data Conversion

This section intentionally left blank.

Dynamic Logic

This section intentionally left blank.

UI Changes

Ref	Action	Subject	Description
POL-10400	Modified	Enrollment Product	Removed parameter currency from Enrollment Product section. Added a dropdown for 'type' in Parameters tab.
POL-9791	Added	Create Policy Mutation Flag	Added a field within registrations page dropdown to indicate whether a Policy Mutation will be Created

Ref

Action

Subject

Description

POL-10400

Modified

Enrollment Product

Removed parameter currency from Enrollment Product section. Added a dropdown for 'type' in Parameters tab.

POL-9791

Added

Create Policy Mutation Flag

Added a field within registrations page dropdown to indicate whether a Policy Mutation will be Created

Deprecated items (to be removed in future release)

This section intentionally left blank.

Breaking Changes

Ref	Action	Subject	Description
POL-10400	Modified	Enrollment Product	Deleted column for parameter currency

Ref

Action

Subject

Description

POL-10400

Modified

Enrollment Product

Deleted column for parameter currency

Bug Fixes

BugDB	SR	Internal	BP	Summary
34200860	3-29031085021	POL-10654	BP	Clearing of a defaulted value is not listing the flex codes again
Description:	Currently clearing of a defaulted value is not listing the values again. The list is showing only when we type at least one space. Need to get list when user clears the defaulted value.
Resolution:	Clearing a defaulted value from reference type field (lov) will list all the flex codes again.
34186449	3-28415594371	POL-10633	BP	Enrollment product is displaying multiple times when the group client has multiple group accounts sharing the same enrollment products
Description:	If group client has multiple group accounts sharing the same enrollment product, in bill allocations enrollment product drop down shows the same product multiple times.
Resolution:	When a group client is associated with many group accounts sharing same enrollment product, the enrollment product dropdown in Bill Allocations tab of Group Clients page now shows unique products
34299770	3-29961023779	POL-10812	BP	In a Change Event Rule on Policy/PolicyEnrollment, old entity sometimes contains wrong time-valid dynamic field values.
Description:	When a Change Event Rule (which monitors a dynamic field) is invoked, because of multiple changes to that time-valid dynamic field or record, then, the values of the dynamic fields on the old entity (oldPolicyEnrollment/oldPolicy) are equal to those on the new entity, or otherwise incorrect.
Resolution:	The dynamic fields of old and new entities are now correctly initialized in the change event dynamic logic.
34184175		POL-10627	BP	In business event rules page, when we create or edit a new business rule, the value sent for "old value empty" and "new vale empty" is null
Description:	old value empty and new value empty properties by default should set to false
Resolution:	In business event rules page when we create or edit a new business rule, default values are set for "old value empty" and "new value empty"
34179288		POL-10611	BP	If Reference Property has default value set for mandatory field, while saving the record, it throws error.
Description:	If Reference Property has default value set for mandatory field, while saving the record, it throws error.
Resolution:	User can now set default value for Reference Property (LOV) and it displays correctly. On click of save, data is successfully saved.
34186637		POL-10635	BP	In the quick search and advanced search components of tab table, the record searched upon gets cleared off after the display of the results
Description:	Search term is not retained in quick search and advanced search components of tab table.
Resolution:	Search term is now retained in quick search and advanced search of tabs after the display of results
33854700	3-28560523701	POL-9996	BP	Reversal of a financial transaction which is sent out and marked mandatory is not being picked up by "RUN CALCULATE AND PRODUCE INVOICE"
Description:	Reversal of a financial transaction sent out and marked mandatory is not being picked up by "Run Calculate and Produce Invoice" API.
Resolution:	The bulking group of the reversal selected will be copied from the next, non-superseded, non-reversed transaction in set.
34186574		POL-10634	BP	For all extensibility pages, when trying to save record which already exist, receiving same error
Description:	For record defintion page, if trying to create a record which already exist, while saving, its throws Flex Code System error, rather, it should display 'Record Definition' already exists.
Resolution:
34317045		POL-10886	BP	Policy Enrollment Insurable class remove and replace operation issues for the End Policy scenario
Description:	Policy Enrollment Insurable class removes and replace operation are not working properly for the End Policy scenario
Resolution:	Policy Enrollment Insurable class is removed or replaced during End Policy Operation work properly.
34178835	3-30242166901	POL-10607	BP	BP-Reference Property Defaults Do Not Work When Readonly Is Set To True In Create Mode
Description:	Reference Property Defaults Do Not Work When Readonly Is Set To True In Create Mode
Resolution:	Reference Property defaults work properly now when readonly is set to true in create mode
34370274	3-30005122390	POL-10988	BP	Extract failed with "ORA-30036: UNABLE TO EXTEND SEGMENT BY 8 IN UNDO TABLESPACE 'UNDOTBS1'
Description:	If a large amount of rows are extracted it will lead to a large amount of inserts on a technical table, causing this error when running the Select Extract Items activity.
Resolution:	Added commit of inserts of the technical table per 100000 rows to reduce the risk of running into the undo table space error.
34401539	3-30069731281	POL-11021	BP	Add support to disable showing calculation results in the Sampleprocessandapplyregistrations IP response
Description:	In use cases, the response containing the date paid to will be enough. A new, optional, header parameter called "calculationResults" is added (boolean, default value: true). In case it is false, results are not included in the response.
Resolution:
34407948		POL-11029	BP	When policies are loaded in batch and match is made on identifiers, it should not include the check on access restrictions
Description:	For both policies and relations: if a match cannot be made on code, it tries to match the identifier the user has access to. But, since write policies IP starts an activity to process the policies, the user will be system user which does not have access restrictions.
Resolution:	In matching persons and policies on identifiers in write policies IP, the check on access restrictions on those identifiers is omitted. When multiple identifiers match, please make sure to use the policyIdentifierType in the request payload for the long running operation, to get a proper matching on policy. (and same for persons in the policy in payload, use identifierTypeCode).
34257239	3-30241807411	POL-10740	BP	The option to select type of schedule definition while creation, is available only once per user session
Description:	The option to select type of schedule definition is shown only for the first time of it’s use. After selecting one type, coming back to the search page does not list all the options that were present initially.
Resolution:	The different options for creating schedule definition are present even after a particular type is selected and then search page is accessed again.
34427717	3-30153163811	POL-11044	BP	Updates to relation identifiers from relationidentifiers API are not replicated
Description:	When making an update to Relation Identifier using the Person In API or Integration Point, this change will create a Source Replication Event, and will be replicated to the target system using the Data Replication mechanism, as expected. However, when updating the relation identifier directly via the relationidentifiers API, no Source Replication Events are created, so this changes won’t be replicated to the target system.
Resolution:	Updates to Relation Identifier directly via the generic relationidentifiers API will correctly create Source Replication Events, to replicate data to the target system.
34389936	3-29771901483	POL-11011	BP	Accept header too large error for policies page.
Description:	Accept header size increases every time you reopen a policy or open a different policy.
Resolution:	Accept header size remains the same even if the policy is reopened or a different policy is opened.
34464017	3-30262971031	POL-11114	BP	RuntimeException: CANNOT DIVIDE BY 0, is thrown during Premium Calculation
Description:	This can occur when the intermediate adjustments deducted the premium amount to zero amount which in turn was used to calculate the next adjustment.
Resolution:	No RuntimeException: CANNOT DIVIDE BY 0 is thrown during Premium Calculation
34322109	3-29943391705	POL-10911	BP	Calculating Premium with Tiered Premium Schedule results in NoSuchElementException
Description:	During policy processing, the system checks all eligible Policy Enrollment Products per Premium Schedule per Calculation Period. If the Partial Period Resolution is set to SplitPeriods, the Policy Enrollment Products that start after the threshold (or end before) are not included for PremiumTier determination. When, for a specific Period, all Policy Enrollment Products start after the threshold, but within the same period, a NoSuchElementException is thrown. The same argument holds when all Policy Enrollment Products end before the threshold, but still within the same period
Resolution:	For a specific Calculation Period, if all the Policy Enrollment Products start after the threshold (or end before), the tiered premium schedule is not considered during premium calculation for that period.
34344146	3-29942984031	POL-10940	BP	Tier based Premium Calculation with Split Periods takes threshold date based on Calculation Period Segment instead of Calculation Period
Description:	For tier based premium calculation, the system determines the threshold date based on the configured threshold. This date indicates a specific moment in a calculation period when an enrollment should be 'active' to be included in tier determination. This threshold date should be determined based on the start date of the Calculation Period, not based on the start date of the Calculation Period Segment.
Resolution:	The threshold date is now calculated based on the Calculation Period start date.

BugDB

Internal

Summary

34200860

3-29031085021

POL-10654

Clearing of a defaulted value is not listing the flex codes again

Description:

Currently clearing of a defaulted value is not listing the values again.

The list is showing only when we type at least one space. Need to get list when user clears the defaulted value.

Resolution:

Clearing a defaulted value from reference type field (lov) will list all the flex codes again.

34186449

3-28415594371

POL-10633

Enrollment product is displaying multiple times when the group client has multiple group accounts sharing the same enrollment products

Description:

If group client has multiple group accounts sharing the same enrollment product, in bill allocations enrollment product drop down shows the same product multiple times.

Resolution:

When a group client is associated with many group accounts sharing same enrollment product, the enrollment product dropdown in Bill Allocations tab of Group Clients page now shows unique products

34299770

3-29961023779

POL-10812

In a Change Event Rule on Policy/PolicyEnrollment, old entity sometimes contains wrong time-valid dynamic field values.

Description:

When a Change Event Rule (which monitors a dynamic field) is invoked, because of multiple changes to that time-valid dynamic field or record, then, the values of the dynamic fields on the old entity (oldPolicyEnrollment/oldPolicy) are equal to those on the new entity, or otherwise incorrect.

Resolution:

The dynamic fields of old and new entities are now correctly initialized in the change event dynamic logic.

34184175

POL-10627

In business event rules page, when we create or edit a new business rule, the value sent for "old value empty" and "new vale empty" is null

Description:

old value empty and new value empty properties by default should set to false

Resolution:

In business event rules page when we create or edit a new business rule, default values are set for "old value empty" and "new value empty"

34179288

POL-10611

If Reference Property has default value set for mandatory field, while saving the record, it throws error.

Description:

If Reference Property has default value set for mandatory field, while saving the record, it throws error.

Resolution:

User can now set default value for Reference Property (LOV) and it displays correctly. On click of save, data is successfully saved.

34186637

POL-10635

In the quick search and advanced search components of tab table, the record searched upon gets cleared off after the display of the results

Description:

Search term is not retained in quick search and advanced search components of tab table.

Resolution:

Search term is now retained in quick search and advanced search of tabs after the display of results

33854700

3-28560523701

POL-9996

Reversal of a financial transaction which is sent out and marked mandatory is not being picked up by "RUN CALCULATE AND PRODUCE INVOICE"

Description:

Reversal of a financial transaction sent out and marked mandatory is not being picked up by "Run Calculate and Produce Invoice" API.

Resolution:

The bulking group of the reversal selected will be copied from the next, non-superseded, non-reversed transaction in set.

34186574

POL-10634

For all extensibility pages, when trying to save record which already exist, receiving same error

Description:

For record defintion page, if trying to create a record which already exist, while saving, its throws Flex Code System error, rather, it should display 'Record Definition' already exists.

Resolution:

34317045

POL-10886

Policy Enrollment Insurable class remove and replace operation issues for the End Policy scenario

Description:

Policy Enrollment Insurable class removes and replace operation are not working properly for the End Policy scenario

Resolution:

Policy Enrollment Insurable class is removed or replaced during End Policy Operation work properly.

34178835

3-30242166901

POL-10607

BP-Reference Property Defaults Do Not Work When Readonly Is Set To True In Create Mode

Description:

Reference Property Defaults Do Not Work When Readonly Is Set To True In Create Mode

Resolution:

Reference Property defaults work properly now when readonly is set to true in create mode

34370274

3-30005122390

POL-10988

Extract failed with "ORA-30036: UNABLE TO EXTEND SEGMENT BY 8 IN UNDO TABLESPACE 'UNDOTBS1'

Description:

If a large amount of rows are extracted it will lead to a large amount of inserts on a technical table, causing this error when running the Select Extract Items activity.

Resolution:

Added commit of inserts of the technical table per 100000 rows to reduce the risk of running into the undo table space error.

34401539

3-30069731281

POL-11021

Add support to disable showing calculation results in the Sampleprocessandapplyregistrations IP response

Description:

In use cases, the response containing the date paid to will be enough. A new, optional, header parameter called "calculationResults" is added (boolean, default value: true). In case it is false, results are not included in the response.

Resolution:

34407948

POL-11029

When policies are loaded in batch and match is made on identifiers, it should not include the check on access restrictions

Description:

For both policies and relations: if a match cannot be made on code, it tries to match the identifier the user has access to. But, since write policies IP starts an activity to process the policies, the user will be system user which does not have access restrictions.

Resolution:

In matching persons and policies on identifiers in write policies IP, the check on access restrictions on those identifiers is omitted. When multiple identifiers match, please make sure to use the policyIdentifierType in the request payload for the long running operation, to get a proper matching on policy. (and same for persons in the policy in payload, use identifierTypeCode).

34257239

3-30241807411

POL-10740

The option to select type of schedule definition while creation, is available only once per user session

Description:

The option to select type of schedule definition is shown only for the first time of it’s use. After selecting one type, coming back to the search page does not list all the options that were present initially.

Resolution:

The different options for creating schedule definition are present even after a particular type is selected and then search page is accessed again.

34427717

3-30153163811

POL-11044

Updates to relation identifiers from relationidentifiers API are not replicated

Description:

When making an update to Relation Identifier using the Person In API or Integration Point, this change will create a Source Replication Event, and will be replicated to the target system using the Data Replication mechanism, as expected. However, when updating the relation identifier directly via the relationidentifiers API, no Source Replication Events are created, so this changes won’t be replicated to the target system.

Resolution:

Updates to Relation Identifier directly via the generic relationidentifiers API will correctly create Source Replication Events, to replicate data to the target system.

34389936

3-29771901483

POL-11011

Accept header too large error for policies page.

Description:

Accept header size increases every time you reopen a policy or open a different policy.

Resolution:

Accept header size remains the same even if the policy is reopened or a different policy is opened.

34464017

3-30262971031

POL-11114

RuntimeException: CANNOT DIVIDE BY 0, is thrown during Premium Calculation

Description:

This can occur when the intermediate adjustments deducted the premium amount to zero amount which in turn was used to calculate the next adjustment.

Resolution:

No RuntimeException: CANNOT DIVIDE BY 0 is thrown during Premium Calculation

34322109

3-29943391705

POL-10911

Calculating Premium with Tiered Premium Schedule results in NoSuchElementException

Description:

During policy processing, the system checks all eligible Policy Enrollment Products per Premium Schedule per Calculation Period. If the Partial Period Resolution is set to SplitPeriods, the Policy Enrollment Products that start after the threshold (or end before) are not included for PremiumTier determination. When, for a specific Period, all Policy Enrollment Products start after the threshold, but within the same period, a NoSuchElementException is thrown. The same argument holds when all Policy Enrollment Products end before the threshold, but still within the same period

Resolution:

For a specific Calculation Period, if all the Policy Enrollment Products start after the threshold (or end before), the tiered premium schedule is not considered during premium calculation for that period.

34344146

3-29942984031

POL-10940

Tier based Premium Calculation with Split Periods takes threshold date based on Calculation Period Segment instead of Calculation Period

Description:

For tier based premium calculation, the system determines the threshold date based on the configured threshold. This date indicates a specific moment in a calculation period when an enrollment should be 'active' to be included in tier determination. This threshold date should be determined based on the start date of the Calculation Period, not based on the start date of the Calculation Period Segment.

Resolution:

The threshold date is now calculated based on the Calculation Period start date.

Issues that were backported in previous Release / Patch

No backports.