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Dokumentation
RNILKO00 - IS-H: Generate Insurance Verification Requests (Inpat. Cases)
RFUMSV00 - Advance Return for Tax on Sales/Purchases TXBHW - Original Tax Base Amount in Local CurrencyThis documentation is copyright by SAP AG.
Description
This report enables you to generate insurance verification requests for inpatient and day patient cases. You can process cases with billable services and cases without billable services.
If billable services exist for the case, the report executes the Insurance Verification Service Overview function. If there are currently no billable services for the case, the report executes the Extended Insurance Verification function.
When you run the report, you can either execute the Insurance Verification Services Overview or Extended Insurance Verification function directly, or specify that you want to generate a batch input session. You must then process this batch input session in a separate step.
Requirements
Insurance verification requests can only be generated if at least one insurance relationship has been defined for the case.
If a case does not have any billable services and, consequently, the report executes extended insurance verification, the report can only generate an insurance verification request if default values or preapproved insurance have been defined for the insurance provider with the highest ranking in the insurance relationship.
On the selection screen, in the Select Cases group box, you specify whether you want to select cases
- By admission date
- By discharge date
- By cases
- By case selection
You can restrict your selection further by entering data in the Further Restrictions group box.
Special Features for Country Version Germany
The system handles all cases in a readmission sequence except for the leading case as follows:
For
the generation of insurance verification requests, the system only takes into account readmission cases
for which services exist. This ensures that the system does not generate unnecessary insurance verification requests on the basis of stored default values or preapproved insurance, for example.
Output
If you select Start Immediately, the system displays a list of the cases that were processed, and whether any errors occurred during processing.
From this list, you can go directly into the service entry screen (where you can correct any errors)
by choosing the Services function and correct the cause of the errors.
If you select the Errored Only option, you can restrict the list to cases for which an error occurred.
If you do not select the Start Immediately option, the report creates a batch input session, which you can analyze and process using transaction SM35.
Example
You might like to run this report every day for all patients who were either admitted or discharged on that day.
Addresses (Business Address Services) TXBHW - Original Tax Base Amount in Local Currency
This documentation is copyright by SAP AG.
Length: 3274 Date: 20240531 Time: 190230 sap01-206 ( 62 ms )
