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Pega Claims Repair for Healthcare Hotfixes

Updated on February 10, 2022

The following tables list required hotfixes the Pega® Claims Repair 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 Claims Repair for Healthcare application installation or upgrade:

  • Apply Pega Claims Repair 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 Claims Repair for Healthcare 8.6

Required Pega Claims Repair for Healthcare 8.6 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.6HFix-80786Rule Security Analyzer related rule changes for Pega Claims Repair application.

 

Pega Claims Repair for Healthcare 8.4

Required Pega Claims Repair for Healthcare 8.4 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.4HFix-67739In Pega Claims Repair for Healthcare 8.4, security has been enhanced on a number of rules by the addition of an existing privilege “AllFlows”.

 

Pega Claims Repair for Healthcare 8.3

Required Pega Claims Repair for Healthcare 8.3 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.3HFix-67647In Pega Claims Repair for Healthcare 8.3, security has been enhanced on a number of rules by the addition of an existing privilege “AllFlows”.

 

Pega Claims Repair for Healthcare 8.2

Required Pega Claims Repair for Healthcare 8.2 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.2.1HFix-68232In Pega Claims Repair for Healthcare 8.2, security has been enhanced on a number of rules by the addition of an existing privilege “AllFlows”.
HFix-58227While parsing the input file of professional claim type for outbound message, an Extra * is observed in CLM Segment.
HFix-58046While parsing the input file of Professional claim type, an extra DTP segment is displayed in outbound X12.
HFix-57859

Issues in X12 mapping:

  • Claim Type: Professional DMG missing in outbound XML. REF are not in same order.
  • Claim Type: Institutional One X12 is failing with below String out of bounds exception.
HFix-57420Errors in X12 file generation - missing segments, delimiters. Without passing CTP segment in inbound file an empty CTP segment is generated in Outbound file.
HFix-56532Unable to parse input file with EDI Date/DateTime formats as EDI instituational flow is accepting Pega standand formats and not supporting EDI formats.

 

Pega Claims Repair for Healthcare 8.1

Required Pega Claims Repair for Healthcare 8.1 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
8.1HFix-68024

In Pega Claims Repair for Healthcare 8.1, security has been enhanced on a number of rules by the addition of an existing privilege “AllFlows”.

 

Pega Claims Repair for Healthcare 7.21

Required Pega Claims Repair for Healthcare 7.21 hotfixes

Pega Platform VersionHotfix NumberObserved Behavior
7.4HFix-44364

UI Kit compatibility issues of Pega Claims Repair for Healthcare 7.21 application on Pega 7.4.

Important! You must install or update to Pega Foundation for Healthcare 7.4 before installing this hotfix.

HFix-43460Changes are required to address the following issues:
  • Message is not properly aligned.
  • Add report and category buttons are repeated.
HFix-42683Pega Foundation for Healthcare ruleset version update from 7.21.1 to 7.31 for Pega Claims Repair for Healthcare 7.21.
HFix-36459
Parent Hotfix for Pega Claims Repair for Healthcare 7.21 post Hotfix manager enablement.
HFix-36415Claim data is not populating on running the demo claims.
7.3.1HFix-35574Changes are required to address the following issues:
  • New and pended claim reports shows blank fields in a column.
  • Opening a claim shows blank screen.
  • Unable to process or edit a repair pre-claim using reports.
HFix-38498Changes are required to address the following issues:
  • Application name is not displayed after login.
  • Astrik(*) is missing for Note field.
  • The Work Queues are not aligned properly.
HFix-38504Rulset version update to support the Pega Foundation for Healthcare 7.31 application.
7.3HFix-35574Changes are required to address the following issues:
  • New and pended claim reports shows blank fields in a column.
  • Opening a claim shows blank screen.
  • Unable to process or edit a repair pre-claim using reports.
7.2.2HFix-35574Changes are required to address the following issues:
  • New and pended claim reports shows blank fields in a column.
  • Opening a claim shows blank screen.
  • Unable to process or edit a repair pre-claim using reports.
HFix-36415Data does not populate when you run a demo claim.

Important: This hotfix must be applied after you apply HFix-36459.

HFix-37010Updates the built-on application version on the Claims Repair application rule to use Pega Foundation for Healthcare version 7.23.
7.2.1HFix-35574Changes are required to address the following issues:
  • New and pended claim reports shows blank fields in a column.
  • Opening a claim shows blank screen.
  • Unable to process or edit a repair pre-claim using reports.

 

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