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RNILKO01 - IS-H: Generate Insurance Verification Requests (Outpat. Cases)
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Description
You can use this report to generate insurance verification requests automatically for outpatient cases. You can process cases with billable services and cases without billable services.
If a case already has billable services, the Insurance Verification Services Overview function is executed. If the case does not have any billable services yet, the Extended Insurance Verification function is executed.
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 will 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 in question, and the services have not been assigned to a certificate.
If a case does not have any billable services (and, consequently, extended insurance verification is performed), an insurance verification request can only be generated if default values or pre-approved 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 visit date
- By cases
- By case selection
If you want to select cases from a large range of visit days, you should restrict your selection by specifying a visit type as well.
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 branch directly into the service entry screen (where you can correct any errors) by choosing the Services function.
If you select the Errored only option, you can restrict the list to cases where 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 could execute the report daily for all outpatient cases with certain outpatient visit types.
General Data in Customer Master TXBHW - Original Tax Base Amount in Local Currency
This documentation is copyright by SAP AG.
Length: 2712 Date: 20240520 Time: 065818 sap01-206 ( 47 ms )
