Release Notes for Oracle Health Insurance Enterprise Policy Administration Patch 3.22.2.0.12

This document contains the release notes for Oracle Health Insurance Enterprise Policy Administration Patch 3.22.2.0.12.

Version compatibility: Oracle Health Insurance Enterprise Policy Administration Release 3.22.2.x is only compatible with other Oracle Health Insurance applications release version 3.22.2.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	Patch
POL-4403	Coverage Never In Force Indicator This enhancement introduces the capability to mark a policy enrollment product as "never in force". In addition, a reason explaining why a policy enrollment product is set to "never in force" is provided. These reasons are configurable. A policy enrollment product that was never in force is treated is ignored within the context of premium calculation, tier determination and pre-defined methods that deal with policy enrollment products. The use of this new indicator is optional. If you chose to use this new indicator, we suggest that you revisit dynamic logic that relies on the presence of policy enrollment products. The following dynamic is a non-exhaustive list of dynamic logic that may required change. Person Covered Services function Enrollment Response function Bulk update condition and function Output definition function Policy calculation period segments

Summary

Patch

POL-4403

Coverage Never In Force Indicator

This enhancement introduces the capability to mark a policy enrollment product as "never in force". In addition, a reason explaining why a policy enrollment product is set to "never in force" is provided. These reasons are configurable.

A policy enrollment product that was never in force is treated is ignored within the context of premium calculation, tier determination and pre-defined methods that deal with policy enrollment products.

The use of this new indicator is optional. If you chose to use this new indicator, we suggest that you revisit dynamic logic that relies on the presence of policy enrollment products. The following dynamic is a non-exhaustive list of dynamic logic that may required change.

Person Covered Services function
Enrollment Response function
Bulk update condition and function
Output definition function
Policy calculation period segments

Configuration Properties

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Web Services

Ref	Action	Description
POL-4403	Added	neverinforcereasons API New API to configure never in force reasons
POL-4403	Modified	policyenrollmentproducts API Added attributes neverInForce indicator and neverInForceReason
POL-4403	Modified	Premium Calculation Policy Enrollment Products never in force are ignored in calculation and tier determination
POL-4403	Modified	Generate Mutations Mutations are not generated for 'never in force' policy enrollment products
POL-4403	Modified	Cancel Policy IP For non-contracted periods, the calculation input date is based on the first policy enrollment product that has not never in force.
POL-4403	Modified	Policy In IP Added never in force indicator and reason to policy enrollment product

Ref

Action

Description

POL-4403

Added

neverinforcereasons API

New API to configure never in force reasons

POL-4403

Modified

policyenrollmentproducts API

Added attributes neverInForce indicator and neverInForceReason

POL-4403

Modified

Premium Calculation

Policy Enrollment Products never in force are ignored in calculation and tier determination

POL-4403

Modified

Generate Mutations

Mutations are not generated for 'never in force' policy enrollment products

POL-4403

Modified

Cancel Policy IP

For non-contracted periods, the calculation input date is based on the first policy enrollment product that has not never in force.

POL-4403

Modified

Policy In IP

Added never in force indicator and reason to policy enrollment product

Data Conversion

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Dynamic Logic

Ref	Action	Description
POL-4403	Modified	Predefined method: getAllPolicyEnrollmentProducts Never in force policy enrollment products are excluded
POL-4403	Modified	Predefined method: endPolicy Never in force policy enrollment products are excluded
POL-4403	Modified	Predefined method: endEnrollment Never in force policy enrollment products are excluded.
POL-4403	Modified	Predefined method: setPersonCoveredService Policy enrollment products with indicator neverInForce checked, are excluded.

Ref

Action

Description

POL-4403

Modified

Predefined method: getAllPolicyEnrollmentProducts

Never in force policy enrollment products are excluded

POL-4403

Modified

Predefined method: endPolicy

Never in force policy enrollment products are excluded

POL-4403

Modified

Predefined method: endEnrollment

Never in force policy enrollment products are excluded.

POL-4403

Modified

Predefined method: setPersonCoveredService

Policy enrollment products with indicator neverInForce checked, are excluded.

UI Changes

Ref	Action	Description
POL-4403	Added	Never In Force Reason New configuration page
POL-4403	Modified	Policy Page Added never in force and never in force reason to policy enrollment product section and never in force policy enrollment products are ignored from change products, end enrollment and end policy actions.

Ref

Action

Description

POL-4403

Added

Never In Force Reason

New configuration page

POL-4403

Modified

Policy Page

Added never in force and never in force reason to policy enrollment product section and never in force policy enrollment products are ignored from change products, end enrollment and end policy actions.

Breaking Changes

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Bug Fixes

BugDB	SR	Internal	BP	Summary
35497349	3-33233017641	POL-12960	BP	Optimize the query to delete policy calculation periods in calculate premium activity (AU localization)
Description:	The query to delete policy calculation periods in calculate premium activity (AU localization) uses inefficient access path
Resolution:	The query to delete policy calculation periods in calculate premium activity (AU localization) is optimized
35526472		POL-13015	BP	Enrollment product - parameter domain values, percentage column is reflecting as duplicate
Description:	Enrollment product - parameter domain values, percentage column is reflecting as duplicate
Resolution:	In enrollment products page , parameter domain values tab conditional dynamic logic column name now displayed as condition instead of percentage
35372744		POL-12762	BP	Business event rules page: the field 'attribute' should contain direct fields
Description:	In Business event rules page, the field 'attribute' should contain direct fields. On selection of entity field types ('MVTV' , 'DYNR','MVNTV','SVTV' ), it is not displaying direct fields in attribute field.
Resolution:	On selection of entity type (multi value time valid , dynamic records, multi value non time valid fields , single value time valid ) in 'Field' attribute of Business Event Rules page, it displays directs fields of dynamic records.
35423931	3-33021021681	POL-12845	BP	Flex code descriptor is not shown in create state for subproperty configuration.
Description:	When a dynamic record with flex code as one of its property is configured as a subproperty for a LOV, the descriptor of the flexcode is not shown in the create state but is shown in the edit state when a value is selected for the LOV
Resolution:	For sub-property configuration of a dynamic record which has a flex code as one of its properties, both the value and descriptor are shown when a value is selected for the parent property in create mode.

BugDB

Internal

Summary

35497349

3-33233017641

POL-12960

Optimize the query to delete policy calculation periods in calculate premium activity (AU localization)

Description:

The query to delete policy calculation periods in calculate premium activity (AU localization) uses inefficient access path

Resolution:

The query to delete policy calculation periods in calculate premium activity (AU localization) is optimized

35526472

POL-13015

Enrollment product - parameter domain values, percentage column is reflecting as duplicate

Description:

Enrollment product - parameter domain values, percentage column is reflecting as duplicate

Resolution:

In enrollment products page , parameter domain values tab conditional dynamic logic column name now displayed as condition instead of percentage

35372744

POL-12762

Business event rules page: the field 'attribute' should contain direct fields

Description:

In Business event rules page, the field 'attribute' should contain direct fields. On selection of entity field types ('MVTV' , 'DYNR','MVNTV','SVTV' ), it is not displaying direct fields in attribute field.

Resolution:

On selection of entity type (multi value time valid , dynamic records, multi value non time valid fields , single value time valid ) in 'Field' attribute of Business Event Rules page, it displays directs fields of dynamic records.

35423931

3-33021021681

POL-12845

Flex code descriptor is not shown in create state for subproperty configuration.

Description:

When a dynamic record with flex code as one of its property is configured as a subproperty for a LOV, the descriptor of the flexcode is not shown in the create state but is shown in the edit state when a value is selected for the LOV

Resolution:

For sub-property configuration of a dynamic record which has a flex code as one of its properties, both the value and descriptor are shown when a value is selected for the parent property in create mode.

Issues that were backported in previous Release / Patch

No backports.