Release Notes for Oracle Health Insurance Enterprise Policy Administration Patch 4.25.1.0.6

This document contains the release notes for Oracle Health Insurance Enterprise Policy Administration Patch 4.25.1.0.6.

Version compatibility: Oracle Health Insurance Enterprise Policy Administration Release 4.25.1.x is only compatible with other Oracle Health Insurance applications release version 4.25.1.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 Patch

ID	Summary	Patch
NXT-31592	Conditionally disable actions for the claims and policies page This enhancement introduces the ability to disable the following buttons conditionally: Submit claim Submit policy Edit policy Documentation Links: Developer Guide - JET User Interface - Components - Condition
POL-16632	Set policy enrollment event text parameters This enhancement introduces the ability to set custom text parameters in business event messages (Business Policy Enrollment events) through the business event dynamic logic condition. Furthermore, this enhancement enriches the functionality of the business event dynamic logic condition for evaluation of the Business Event Rules: Every change that matches the business event rule leads to a policy enrollment event. The JSON payload attached to the policy enrollment event is limited to the specific changed object. The changed or added object is added as an input parameter of the business event dynamic logic condition. A new predefined method, `getActivePolicy`, is introduced that can be used for comparison in the business event dynamic logic condition. Documentation Links: Configuration Guide - Process Policy Configuration - Business Events Developer Guide - Dynamic Logic - Change Logs and Enrollment Change Events Developer Guide - Dynamic Logic - References - Functions Developer Guide - Dynamic Logic - References - Conditions Developer Guide - Dynamic Logic - References - Predefined Methods Operations Guide - Process Policy - Compare Policy Versions

NXT-31592

Conditionally disable actions for the claims and policies page

This enhancement introduces the ability to disable the following buttons conditionally:

Submit claim
Submit policy
Edit policy

Documentation Links:
Developer Guide - JET User Interface - Components - Condition

POL-16632

Set policy enrollment event text parameters

This enhancement introduces the ability to set custom text parameters in business event messages (Business Policy Enrollment events) through the business event dynamic logic condition. Furthermore, this enhancement enriches the functionality of the business event dynamic logic condition for evaluation of the Business Event Rules:

Every change that matches the business event rule leads to a policy enrollment event.
The JSON payload attached to the policy enrollment event is limited to the specific changed object.
The changed or added object is added as an input parameter of the business event dynamic logic condition.
A new predefined method, getActivePolicy, is introduced that can be used for comparison in the business event dynamic logic condition.

Documentation Links:
Configuration Guide - Process Policy Configuration - Business Events
Developer Guide - Dynamic Logic - Change Logs and Enrollment Change Events
Developer Guide - Dynamic Logic - References - Functions
Developer Guide - Dynamic Logic - References - Conditions
Developer Guide - Dynamic Logic - References - Predefined Methods
Operations Guide - Process Policy - Compare Policy Versions

Configuration Properties

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Web Services

Ref	Action	Description
POL-16632	Modified	Compare policy versions Every single change that matches a business event rule leads to the creation of a policy enrollment event

Ref

Action

Description

POL-16632

Modified

Compare policy versions

Every single change that matches a business event rule leads to the creation of a policy enrollment event

Data Conversion

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Dynamic Logic

Ref	Action	Description
POL-16632	Added	getActivePolicy Predefined method that retrieves the active version of the policy
POL-16632	Modified	businessEvent This dynamic logic condition has the new or updated object as input parameter and offers the possibility to set custom text parameters

Ref

Action

Description

POL-16632

Added

getActivePolicy

Predefined method that retrieves the active version of the policy

POL-16632

Modified

businessEvent

This dynamic logic condition has the new or updated object as input parameter and offers the possibility to set custom text parameters

UI Changes

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Breaking Changes

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Access Restrictions

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Bug Fixes

BugDB	SR	Internal	Summary
38508710		POL-17884	Premium calculation for last period is incorrect for evenly distributed yearly contracted policy when the calendar month split is disabled
Description:	The calculated premium amount for the last period of an evenly distributed yearly period contracted policy does not match the expected value when the calendar month split setting is disabled. This issue occurs when the policy contract begins on February 28th of a non-leap year.
Resolution:	A discrepancy existed between the contract periods and the generated policy calculation periods. The logic for generating contract periods has been corrected to align with the generated PCPs for yearly periods in leap years.
38388214	3-41612607721	POL-17721	Reversed Calculation Results included during reconciliation calculation
Description:	When reconciliation is applied to the last period of a period span, the system will look for the latest version of the calculation results that have a start date between the start of the span and the start of the last period. In fact, the system will look for all the start dates of the calculation results within that period, and afterwards takes the latest Calculation Result version per start date. This means that if the latest Calculation Result is reversed, it is also included in the search. At the end, all the amounts of those Calculation Results are added up and subtracted from the amount that should be paid for the entire span.
Resolution:	Reversed Calculation Results are not included in the search during reconciliation.
38412153	3-42051417011	POL-17747	"Domain Values" is not showing in Parameter Domain Values Tab in Enrollment Products
Description:	Not able to view Domain Values in Parameter Domain Values Tab of Enrollment Products page after a new Domain Value is created and saved. Page has to be reloaded to view Domain Values.
Resolution:	After new domain value is created in Parameter Domain Values tab of Enrollment Products page, it is shown immediately, without having to reload the page
38393117	3-41972506271	POL-17726	Notation To Be Shown After Parameter Values
Description:	Notation to be shown after the parameter vales like units, days, % or $ accordingly in policies and member page
Resolution:	Added notations for unit, days, percentage in policies and members page for parameter values
38414587	3-42030672651	POL-17753	500 Internal server error occurs when populating the province field in the group account address under the extensibility tab
Description:	A 500 Internal Server Error occurs when populating the province field in a group account address under the Extensibility tab, where the province field is configured under record definition to use CountryRegion as a picklist
Resolution:	Query is created as expected and the list of values is loading successfully without any errors
37859797	3-40389292391	POL-17055	Enhanced diagnosability and error handling for transactions marked as Rollback
Description:	Some activities took longer than expected time to complete because the transaction that updates the status of activities was silently rolled back due to an exception being suppressed within dynamic logic.
Resolution:	Added the exception in no rollback attribute to prevent silent rollbacks.
38476501	3-42101202791	POL-17849	Unable to Select a Product when Group Account Product Availability is in the Future
Description:	When a Group Account or Insurable Class is setup with future effective dates, when trying to enroll a member in policies, the Product drop down is not displaying any available products to select
Resolution:	Applicable products are displayed in dropdown when Group Account Product Availability is in the future.
38462492		POL-17812	Enrollment product: adjustment override : copy button not working
Description:	Copy button is shown in adjustment override for Enrollment products though the page doesn’t have create access
Resolution:	The copy action is removed in adjustment override for Enrollment products.
38497092	3-42214428861	POL-17865	Policies widget is not available when a policy is opened
Description:	On navigating to Policies details page from widget and back to search page, widgets and tiles are not visible
Resolution:	Widgets and tiles are visible when we navigate to search page from details and there is no search criteria
38406116	3-42061494681	POL-17741	Person’s formatted name is not shown in Policies page
Description:	Person’s formatted name is not shown in policy detail page and search page.
Resolution:	The personâ€™s formatted name now displays consistently on the Policy Detail Page, Policy Search Page based on configuration
38498939	3-42254617011	POL-17870	Policy Premium: Policy reversal calculation results are dispalyed
Description:	Policy Reversal field is excluded from the fields being queried. As a result reversal calculation was not happening properly.
Resolution:	Policy Reversal Calculations are displayed properly. UI filters out the reversed transactions.
38494159	3-42204313821	POL-17862	Not all calculation results are reversed when collection setting start date is moved to a date after a date from a previous version of a policy.
Description:	When a collection setting with generate policy calculation periods set to true and policy is approved and premium calculated, and a next version has a collection setting with a start date after the previous one: not all calculation results are reverted. For example: Create a policy with a collection setting startDate 2025-09-01, approve and calculate premium. Then, create a new version with a collection setting start date of 2025-09-05, approve and calculate premium. Calculation result starting on 2025-09-01 is not reversed.
Resolution:	The cause is that when looking at calculation results to be reverted, the new start date of the earliest generated policy calculation period is used. Thus skipping the ones that started on the previous earliest generated policy calculation periods. This is solved by including calculation results that are starting after or on the earliest effective date of mutations of type Recalculation.

BugDB

Internal

Summary

38508710

POL-17884

Premium calculation for last period is incorrect for evenly distributed yearly contracted policy when the calendar month split is disabled

Description:

The calculated premium amount for the last period of an evenly distributed yearly period contracted policy does not match the expected value when the calendar month split setting is disabled. This issue occurs when the policy contract begins on February 28th of a non-leap year.

Resolution:

A discrepancy existed between the contract periods and the generated policy calculation periods. The logic for generating contract periods has been corrected to align with the generated PCPs for yearly periods in leap years.

38388214

3-41612607721

POL-17721

Reversed Calculation Results included during reconciliation calculation

Description:

When reconciliation is applied to the last period of a period span, the system will look for the latest version of the calculation results that have a start date between the start of the span and the start of the last period. In fact, the system will look for all the start dates of the calculation results within that period, and afterwards takes the latest Calculation Result version per start date. This means that if the latest Calculation Result is reversed, it is also included in the search. At the end, all the amounts of those Calculation Results are added up and subtracted from the amount that should be paid for the entire span.

Resolution:

Reversed Calculation Results are not included in the search during reconciliation.

38412153

3-42051417011

POL-17747

"Domain Values" is not showing in Parameter Domain Values Tab in Enrollment Products

Description:

Not able to view Domain Values in Parameter Domain Values Tab of Enrollment Products page after a new Domain Value is created and saved. Page has to be reloaded to view Domain Values.

Resolution:

After new domain value is created in Parameter Domain Values tab of Enrollment Products page, it is shown immediately, without having to reload the page

38393117

3-41972506271

POL-17726

Notation To Be Shown After Parameter Values

Description:

Notation to be shown after the parameter vales like units, days, % or $ accordingly in policies and member page

Resolution:

Added notations for unit, days, percentage in policies and members page for parameter values

38414587

3-42030672651

POL-17753

500 Internal server error occurs when populating the province field in the group account address under the extensibility tab

Description:

A 500 Internal Server Error occurs when populating the province field in a group account address under the Extensibility tab, where the province field is configured under record definition to use CountryRegion as a picklist

Resolution:

Query is created as expected and the list of values is loading successfully without any errors

37859797

3-40389292391

POL-17055

Enhanced diagnosability and error handling for transactions marked as Rollback

Description:

Some activities took longer than expected time to complete because the transaction that updates the status of activities was silently rolled back due to an exception being suppressed within dynamic logic.

Resolution:

Added the exception in no rollback attribute to prevent silent rollbacks.

38476501

3-42101202791

POL-17849

Unable to Select a Product when Group Account Product Availability is in the Future

Description:

When a Group Account or Insurable Class is setup with future effective dates, when trying to enroll a member in policies, the Product drop down is not displaying any available products to select

Resolution:

Applicable products are displayed in dropdown when Group Account Product Availability is in the future.

38462492

POL-17812

Enrollment product: adjustment override : copy button not working

Description:

Copy button is shown in adjustment override for Enrollment products though the page doesn’t have create access

Resolution:

The copy action is removed in adjustment override for Enrollment products.

38497092

3-42214428861

POL-17865

Policies widget is not available when a policy is opened

Description:

On navigating to Policies details page from widget and back to search page, widgets and tiles are not visible

Resolution:

Widgets and tiles are visible when we navigate to search page from details and there is no search criteria

38406116

3-42061494681

POL-17741

Person’s formatted name is not shown in Policies page

Description:

Person’s formatted name is not shown in policy detail page and search page.

Resolution:

The personâ€™s formatted name now displays consistently on the Policy Detail Page, Policy Search Page based on configuration

38498939

3-42254617011

POL-17870

Policy Premium: Policy reversal calculation results are dispalyed

Description:

Policy Reversal field is excluded from the fields being queried. As a result reversal calculation was not happening properly.

Resolution:

Policy Reversal Calculations are displayed properly. UI filters out the reversed transactions.

38494159

3-42204313821

POL-17862

Not all calculation results are reversed when collection setting start date is moved to a date after a date from a previous version of a policy.

Description:

When a collection setting with generate policy calculation periods set to true and policy is approved and premium calculated, and a next version has a collection setting with a start date after the previous one: not all calculation results are reverted. For example: Create a policy with a collection setting startDate 2025-09-01, approve and calculate premium. Then, create a new version with a collection setting start date of 2025-09-05, approve and calculate premium. Calculation result starting on 2025-09-01 is not reversed.

Resolution:

The cause is that when looking at calculation results to be reverted, the new start date of the earliest generated policy calculation period is used. Thus skipping the ones that started on the previous earliest generated policy calculation periods. This is solved by including calculation results that are starting after or on the earliest effective date of mutations of type Recalculation.

Issues that were backported in previous Release / Patch

No backports.