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RN1_NLEI_SET_FIELDS_OF_NTPK - Saves Service Type, Service Key and Billing Type in NLEI

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Purpose

You can use report RN1_NLEI_SET_FIELDS_OF_NTPK to correct service data records (table NLEI) which were incorrectly created by i.s.h.med.

Background: Towards the end of 2012 IS-H introduced new fields in the service master (NTPL):

",,Charge type §301 for outpatient institutions (NTPK-ENTGAMB)

",,Service type §301 outpatient (NTPK-LAAMB)

",,Service key §301 outpatient (NTPK-LSCHL)

These fields are transferred into NLEI during service entry at case level (outpatient, inpatient or day patient) as follows:

",,NTPK-ENTGAMB -> NLEI-ENTGAMB

",,NTPK-LAAMB -> NLEI-LAAMB

",,NTPK-LSCHL -> NLEI-LSCHL

This IS-H enhancement was not originally taken into account by i.s.h.med, the problem was resolved with note number 1806670, so that no more new incorrect data records were created.

This report corrects the incorrect data and outputs this in a log.

Initial Screen

An institution must always be specified on the initial screen.

The case number, service date or service number enable you to execute the correction in stages.

Via a test mode, you can also output a log of incorrect cases and service records, production mode then executes the actual correction in the tables on the database.

We recommend that you first execute the report in test mode, remember a case which is output in the log and then execute the correction for this case in production mode. You can then check the results for this exact case and then execute the correction of all cases subsequently.

We recommend that only i.s.h.med services are corrected with this report. However, if medical services are broken down into other in-house catalog services during release (cost breakdown) and this released service is filled with one of the segments named below, then all service records should be corrected, as it cannot be excluded that purely billing-relevant services have also been incorrectly created.

If the option "All Services" is selected, the system corrects all NLEI data records where a deviation between the service master and the movement data record NLEI is determined, and which satisfy the other selection conditions.

Selection and Logging

The system checks all services to see whether one or more of the following in missing:

",,Charge type §301 for outpatient institutions

",,Service type §301 outpatient

",,Service key §301 outpatient

and corrects this.

All services which are corrected, and their corresponding cases, are logged.

Following the correction by the report you can subsequently, for all cases which the insurance provider rejected with an AMBO message due to a "missing LEI segment", recreate these AMBO messages in the EDI workbench and send these back to the insurance provider.

You should note that the report does not execute a case lock on the cases where services have been changed. We therefore recommend that you run this report at a time in which medical or administrative documentation is not really created (during the night, end of the day).

You should also note that when the report is called for a long time period, long runtimes may result.

BAL_S_LOG - Application Log: Log header data   ABAP Short Reference  
This documentation is copyright by SAP AG.

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