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RNZUZS00 - IS-H: Reverse Dunned Copayment Requests

RNZUZS00 - IS-H: Reverse Dunned Copayment Requests

ROGBILLS - Synchronize billing plans   PERFORM Short Reference  
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Description

This report lets you charge off dunned copayment requests, and print a list of the copayments that have not been received for each insurance provider.

In general, hospitals have to send out one dunning notice relating to a copayment request. If payment from the patient is still not forthcoming, you inform the insurance provider that the patient has refused to pay. The insurance provider then checks the case and the hospital can reverse the copayment request.

You can restrict the copayment requests you want to check on the selection screen.

The program has an interactive mode and a batch input mode.

In interactive mode, the program first outputs a list of copayment requests that match your selection criteria. From this list you can select and reverse particular copayment requests. You can also print one form per insurance provider. Using the function Reverse and print you can execute both functions Reverse and Print advice in a single operation.
You can, of course, execute the individual functions independently of each other; in other words, print a form, without reversing a copayment request.

Select Reverse immediately if you wish to reverse copayment requests without further intervention. If you wish to print additional forms for the insurance providers, also select Print immediately.

By selecting Address to head office, you will create the list for the insurance provider's head office if a branch office-head office relationship exists.

To prevent the copayment generation program from generating new copayment requests for cases whose copayment requests have been charged off, the program can set the copayment waiver "Not paid despite reminder" for a case-related insurance relationship. To achieve this, select Set copayment waiver, and enter a copayment waiver with the internal reason 7 (Not paid despite reminder). Any existing copayment waiver will be overwritten.
If you execute the report with the option Set copayment waiver flagged in interactive mode, the copayment waiver is always set when a copayment request is reversed.

By specifying a printer on the selection screen, you can override the default form control settings.

Further functions

  • Legend

  • Print list (Menu List)

  • Save list as sequential file (Menu List)

  • Maintain list headers (Menu Edit)

  • Find string (Menu Edit)

  • Resort list (Menu Edit)

Function Choose:

You can call up detailed information on key fields displayed on a colored background in the list by double-clicking these fields or by positioning the cursor on them, and choosing F2.

This functionality is currently available for the following fields:

  • Insurance provider

  • Document number of the copayment requests

Mode Choose form.../Standard form:

From the Settings menu, you can stipulate whether the forms to be printed are to be chosen (Choose form...), or whether the form defined as standard in Customizing should be used.
Whether several forms are defined in your system or whether one form is defined as the standard form depends on the Customizing settings for form control.
If necessary, ask your system administrator.

Requirements

This report is only useful if your institution uses the collection procedure for handling copayment.

If copayment is handled using the receivable procedure, you cannot execute this function.

Copayment requests only appear in the list if the following prerequisites are met:

  • They must match the selection criteria.

  • At least one dunning notice must have been sent for the copayment request.

  • The grace period must be exceeded: Dunning date plus dunning deadline in days (defined in the copayment request control table) must be before or identical to the key date that can be modified on the selection screen.

  • The copayment must have been posted in current year or in the preceding year (posting date).

Output

In interactive mode, the program lists the copayment requests found for you to process.

In non-dialog mode, the program reverses all of the copayment requests matching your selection criteria, and, if required, prints a form per insurance provider.

Technical notes on form control

When the event Charge off copayment request occurs, the following filled data structures are made available:

  • RNF11 (Insurance Provider Data - Insurance)

  • RNF19 (Forms Text Modules)

  • RNZUZ4* (Copayment Request Data)

The * identifies a repeating group.
The structures listed above are available for creating and filling your forms.






rdisp/max_wprun_time - Maximum work process run time   General Data in Customer Master  
This documentation is copyright by SAP AG.

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