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Pega Foundation for Healthcare Hotfixes

The following tables list required hotfixes the Pega® Foundation for Healthcare application requires. To request a hotfix, go to your account on My Support Portal. Click New request > For something I need and select Service request > Existing hot fix. Add and verify the hotfix details and click Finish.

Import each type of hotfix in the listed order during the Pega Foundation for Healthcare installation or upgrade:

  • Apply Pega Platform hotfixes immediately after the Pega Platform installation or upgrade.

  • Apply Pega Foundation for Healthcare​ hotfixes just after you complete the application bundle import.

To see hotfix installation details, see the readme that is included in the hotfix.

Pega Foundation for Healthcare 8.6

Required Pega Foundation for Healthcare 8.6 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
8.6 HFix- 80823

Added Database indexes to below tables to improve performance:
pegadata.groupercoverage, column: planid
pegadata.grouperdefinition, column: planid
pegadata.benefitdefinition, column: planid
pegadata.pegahc_data_plan, column: planid
pegadata.benefitsummary, column: planid

Pega Foundation for Healthcare 8.5

Required Pega Foundation for Healthcare 8.5 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
8.5.1 HFix- 68660

Two new properties ”SubjectToNetworkDeductible” and  ”SubjectToNetworkOOP” are introduced to consider network deductible and OOP at claim calculation end.

HFix- 80118 History snapshot of the below classes is disabled to reduce the usage of system resources.
PegaX12-Data-N837
PegaHC-Data-ZipCode

Pega Foundation for Healthcare 8.4

Required Pega Foundation for Healthcare 8.4 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
8.4.3 HFix-67488

In PFHC 8.4, security has been enhanced on a number of rules by the addition of an existing privilege 'AllFlows'.

HFix-80643 Modified the logic to resolve the validation issue and enable the user to  add a new Servicing address to a Provider.
8.4 HFix-61679 Optimized Member.PlanID in the context of Authorizations and Claims.

Pega Foundation for Healthcare 8.3

Required Pega Foundation for Healthcare 8.3 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
8.3.4 HFix- 67489

In PFHC 8.3, security has been enhanced on a number of rules by the addition of an existing privilege 'AllFlows'.

8.3.1 HFix- 63946 History snapshot of the below classes is disabled to reduce the usage of system resources.
PEGAHC-DATA-BENEFIT-COVERAGE
PEGAHC-DATA-BENEFIT-DEFINITION
PEGAHC-DATA-BENEFITSUMMARY
PEGAHC-DATA-GROUPER-COVERAGE
PEGAHC-DATA-GROUPER-DEFINITION
PEGAHC-DATA-BENEFITCATEGORY
PEGAHC-DATA-PLANBENEFITCATEGORYASSOCIATION
8.3 HFix- 66931 New properties added to plan data model to leverage in the PCS Plan flattening process.
HFix- 58420

The following are the changes addressed as a part of this hotfix:

  • Policy related changes have been forward ported
  • Few bug fixes and enhancements
  • SCE related enhancements with respect to debatch

Pega Foundation for Healthcare 8.2

Required Pega Foundation for Healthcare 8.2 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
8.2.8 HFix- 68066

In PFHC 8.2, security has been enhanced on a number of rules by the addition of an existing privilege 'AllFlows'.

8.2 HFix- 53396 PegaHCCore application rule has been wrongly configured to have PegaHCEDI ruleset. This ruleset should be part of PegaX12 application.   As part of this hotfix, the core application has been modified to remove PegaHCEDI rulesets.
HFix- 57447

Addressed the below mapping issues observed during 837 out bound generation:

  1. Corrected the mapping for Date_ClaimCheckOrRemittanceDate segment in professional outbound generation.
  2. Corrected the mapping for Billing Provider Tax Identification segment in institutional outbound generation.
  3. Fixed few other mapping issues in dental claims.
HFix- 58433

Addressed the issue observed while parsing the 837 file that has loop 2010BB before loop 2010BA. This fix also provides rule changes that support Loops 2010AA,2010AB,2010AC in 2000A and 2010BA,2010BB in 2000B to be in any order.

Pega Foundation for Healthcare 8.1

Required Pega Foundation for Healthcare 8.1 hotfixes

Pega Platform Version Hotfix Number Observed Behavior

8.1.9

HFix-67740

In PFHC 8.1, security has been enhanced on a number of rules by the addition of an existing privilege "AllFlows".

8.1

HFix-50778

The use of a timestamp in setting the range key for a code set is producing collisions on a heavily loaded system, resulting in loss of data.  This has been fixed this by modifying UpdateOrSplitCodeRange activity to use  getCurrentTimeStampUnique() instead of  getCurrentTimeStamp()

8.1

HFix-52044

New properties added to plan data model to support accumulator related enhancements

8.1

HFix-53719

New classes and properties are added to support enhanced flattening of PCS plan and product entities.

8.1

HFix-53934

New property, BenefitLimitCountBy added to hold the  BenefitLimitCountBy value configured in PCS limit , when a Product or Plan is flattened.

8.1

HFix-54373

New property, BaseName added to hold BaseName value for flattened PCS PLAN and PRODUCT.

8.1

HFix-55346

New properties included in flattening data model to support PCS data extract enhancements for inclusion of order of cost shares and formatted cost share amount text values for deductible and OOP calculation methods other than Embedded.

8.1

HFix-58423

System becomes unresponsive when bulk plan flattening, is attempted using  “PCSFlattenAllPlansAfterDeleting”  activity.
As part of fix Queue-Method is replaced with queue for processor so that:

Progress of plan level flattening, can be tracked.
In case of any failure, reprocess the plans in broken queues.
Control the parallel execution of plan flattening (by defining the appropriate number of threads in queue processor
rule: “CREATEFLATTENEDPLAN” (which is defaulted to 1 thread on the queue-processor).
This activity “DELETEANDREFLATTENPLAN” is refactored to truncate the table instead of obj-browse and obj-delete by handle.
History class instances creation/inserts is disabled for flattened main classes to reduce the number of database interactions.

 

Pega Foundation for Healthcare 7.4

Required Pega Foundation for Healthcare 7.4 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
8.1 HFix-47952 Changes are required to address the following issues:
  • Screen is distorted with lengthy description.
  • Benefits, plan Buttons are not aligned properly.
  • Content is too close to tabs.

 

Pega Foundation for Healthcare 7.31

Required Pega Platform hotfixes for Pega Foundation for Healthcare 7.31

Pega Platform Version Hotfix Number Observed Behavior
7.3 HFix-35897 The data import wizard does not set Date time values correctly.
HFix-35904 You cannot apply attribute-based Access Control (ABAC) Security policies to Pagelist properties for a given data type.
HFix-36180 The data import wizard does not set Work ID Suffix correctly.

Required Pega Foundation for Healthcare 7.31 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
7.4 HFix-43891 Activity Status Error is encountered while adding plans in multiple screens like provider contract, membership contract etc. This hotfix is generated using Hotfix Manager and contains the same rules as HFix-38635.
HFix-40752 The sample plan benefits review screen in the Sample Data portal is missing some attributes, such as COB information, that were available in Pega Foundation for Healthcare 7.23.
HFix-40746

Support the hotfix manager process for Pega Foundation for Healthcare 7.31, including the required DAPF instance.
IMPORTANT! For systems running on Pega Platform 7.3, this hotfix is a prerequisite for all Pega Foundation for Healthcare 7.31 hotfixes.

HFix-40565

Pega Foundation for Healthcare 7.31 requires a number of small enhancements. This hotfix contains sample data to support those enhancements.
Note: This hotfix adheres to the Hotfix manager process and supercedes HFix-38781. For details, please refer to the hotfix readme.

HFix-40503

Pega Foundation for Healthcare 7.31 requires a number of small enhancements.
Note: This hotfix adheres to the Hotfix manager process and supercedes HFix-38781. For details, please refer to the hotfix readme.

7.3.1 HFix-43891 Activity Status Error is encountered while adding plans in multiple screens like provider contract, membership contract etc. This hotfix is generated using Hotfix Manager and contains the same rules as HFix-38635.
HFix- 40752 The sample plan benefits review screen in the Sample Data portal is missing some attributes, such as COB information, that were available in Pega Foundation for Healthcare 7.23.
HFix-40746 Support the hotfix manager process for Pega Foundation for Healthcare 7.31, including the required DAPF instance.
IMPORTANT! For systems running on Pega Platform 7.3, this hotfix is a prerequisite for all Pega Foundation for Healthcare 7.31 hotfixes.
HFix-40565 Pega Foundation for Healthcare 7.31 requires a number of small enhancements. This hotfix contains sample data to support those enhancements.
Note: This hotfix adheres to the Hotfix manager process and supercedes HFix-38781. For details, please refer to the hotfix readme.
HFix-40503 Pega Foundation for Healthcare 7.31 requires a number of small enhancements.
Note: This hotfix adheres to the Hotfix manager process and supercedes HFix-38781. For details, please refer to the hotfix readme.
HFix-38552 For Claims Automation Suite 7.21 implementations, upgrading the Foundation for Healthcare layer from release 7.21.1 to release 7.31, there are database table mapping issues in the class ‘PegaHC-Index-CLM-Edit’.
HFix-38494 For systems using Postgres databases, upgrade scripts are required to support upgrade Pega Healthcare Industry Foundation 7.21.1 to Pega Foundation for Healthcare 7.31.
HFix-37724 For systems using Postgres, Oracle, MSSQL, DB2, Z/OS DB2 databases, upgrade scripts are required to support upgrade from Pega Healthcare Industry Foundation 7.22 to Pega Foundation for Healthcare 7.31.
7.3 HFix- 40752 The sample plan benefits review screen in the Sample Data portal is missing some attributes, such as COB information, that were available in Pega Foundation for Healthcare 7.23.
HFix-40746 Support the hotfix manager process for Pega Foundation for Healthcare 7.31, including the required DAPF instance.
IMPORTANT! For systems running on Pega Platform 7.3, this hotfix is a prerequisite for all Pega Foundation for Healthcare 7.31 hotfixes.
HFix-40565 Pega Foundation for Healthcare 7.31 requires a number of small enhancements. This hotfix contains sample data to support those enhancements.
Note: This hotfix adheres to the Hotfix manager process and supercedes HFix-38781. For details, please refer to the hotfix readme.
HFix-40503 Pega Foundation for Healthcare 7.31 requires a number of small enhancements.
Note: This hotfix adheres to the Hotfix manager process and supercedes HFix-38781. For details, please refer to the hotfix readme.
HFix-38552 For Claims Automation Suite 7.21 implementations, upgrading the Foundation for Healthcare layer from release 7.21.1 to release 7.31, there are database table mapping issues in the class ‘PegaHC-Index-CLM-Edit’.
HFix-38494 For systems using Postgres databases, upgrade scripts are required to support upgrade Pega Healthcare Industry Foundation 7.21.1 to Pega Foundation for Healthcare 7.31.
HFix-37724 For systems using Postgres, Oracle, MSSQL, DB2, Z/OS DB2 databases, upgrade scripts are required to support upgrade from Pega Healthcare Industry Foundation 7.22 to Pega Foundation for Healthcare 7.31.

 

Pega Foundation for Healthcare 7.23

Required Pega Platform hotfixes for Pega Foundation for Healthcare 7.23

Pega Platform Version Hotfix Number Observed Behavior
7.2.2 HFix-31648 FHIR API Response fails when the syntax in Content Type of JSON Response message for FHIR API is not managed by Pega Connect REST.
HFix-32729 Unable to use New Application Wizard to extend from an existing application due to Org Name issue.

Required Pega Foundation for Healthcare 7.23 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
7.3 HFix-35571 Changes are required to address the following issues:
  • Create Claim process in Sample Data Admin portal – blank screens display while trying to add claim lines or patient information.

  • Create Authorization process in Sample Data Admin portal – blank screen displays while trying to add patient information.

7.2.2 HFix-33796 Oracle databases require an additional table created before you can upgrade from Healthcare Foundation 7.12 to Healthcare Foundation 7.23.

Pega Foundation for Healthcare 7.22

Required Pega Foundation for Healthcare 7.22 hotfixes

Pega Platform Version Hotfix Number Observed Behavior
7.3 HFix-29898 Issues related to code-group searches on the code manager portal.
HFix-36962 The newest Pega Foundation for Healthcare properties that Pega Product Composer for Healthcare 7.31 requires must be added to previous versions of Pega Foundation for Healthcare.
7.2.2 HFix-29898 Issues related to code-group searches on the code manager portal.
7.2.1 HFix-29898 Issues related to code-group searches on the code manager portal.
HFix-33504 Sample data update is required for the Pega Foundation for Healthcare 7.22 release.

 

System Administrator Project Manager Healthcare
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