Ansicht
Dokumentation

Reserves (changed) ( RELNFSCM_464_RESERVE )

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

Short text

Reserves (changed)

Use

As from Release 4.64 you can calculate reserves from claim items that have already been captured. If you have already captured and evaluated claim items, you can use these amounts for reserving purposes. All relevant claim items for this reserve type are taken and filtered with respect to their final validity. The system uses a virtual compensation calculation to ensure that compensation limits and deductibles are not included in the reserving process.

If you calculate reserves from claim items that have already been captured, any statistical reserve that might have been set in the same subclaim and same reserve type will be replaced. However, you cannot replace an existing reserve that you set manually with a calculated reserve.

A further additional feature in Release 4.64 is to be found in the reserve history. An entry is only displayed here if the reserve is increased because of a payment with an insufficient reserve. To date, it might have been the case that two separate entries were displayed - one for the increase in the reserve, and another for the reduction due to the payment.

Effects on Existing Data

The reserve calculation is made on the basis of all ungrouped claim items. If there are any grouped and evaluated claim items, the group whose content is the most similar to the status of the final validity is used in the calculation. For example, bills take precedence over orders. Orders, on the other hand, have precedence over cost estimates.

Effects on Data Transfer

Effects on System Administration

Effects on Customizing

To calculate reserves from claim items that have already been captured, create the permitted reserve types in the Implementation Guide for Claims Management under Claim -> Claim Process Control (Internal Claim Types) -> Configure Internal Claim Types, and then under Benefit Type.

The configuration of statistical and manual reserving is not affected.

Further Information

Vendor Master (General Section)   ROGBILLS - Synchronize billing plans  
This documentation is copyright by SAP AG.

Length: 2329 Date: 20240520 Time: 200951     sap01-206 ( 59 ms )