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Subrogation (changed) ( RELNFSCM_464_SUBROGATION )

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Short text

Subrogation (changed)

Use

Subrogation for open subclaims

As of Release 4.64 you can also carry out subrogation for subclaims that are still open. With bodily injury, for example, it makes sense to send the third-party insurance a recovery request for the high medical bills that have already been partially paid, even before the last bill is received.

You can also restrict the usage of subrogation. For example, you might want to only permit subrogation if the whole claim has already been closed.

Configuration of permitted coverages per internal claim type has been extended to include this option. In the Subrogation Permitted field you can define the following values for every possible coverage:

• 0:

Subrogation is not permitted

• 1:

Subrogation is only permitted if the claim has been closed and there is no salvage

• 2:

Subrogation is only permitted if the subclaim has been closed and there is no salvage

• 3:

Subrogation is always permitted

The functionality whereby subrogation is only triggered automatically upon claim closure remains unaffected.

Reopening written-off and closed subrogation

As of Release 4.64 you can re-open subrogation that has been written off and closed. This makes sense if the claim agent had closed the subrogation because he/she believed that no further cash receipts were to be expected. This being the case, the outstanding amount was written off in a clearing entry. However, if another check is received, or an incoming payment posted, you can change the Subrogation Status field in the closed subrogation from Closed to Reopened. The system creates a new data set in the payment table and a new recovery request.

You cannot trigger this functionality from the Collections and Disbursements system (FS-CD). You can only examine the facts in the Claims Management system because you will not find any open items in FS-CD. You can only re-open closed subrogation cases in which the full amount requested was not recovered. For audit-tracking reasons, you must first save re-opened subrogation cases before you can process them further.

Subrogation by direct input

As of Release 4.64 you can also trigger subrogation via direct input. Enter the following in direct input structure ICL_GEN_DI, or in direct input structure ICL_DI_SEND:

STRUCNAME with ICL_FCODE
DATA ,,with SUBADD_ICLF33.

Sending recovery requests

As of Release 4.64 you cannot create and send multiple recovery requests in one single subrogation case. You can only send new recovery requests once you have processed and updated the subrogation case.

Mini-CD screen

As of Release 4.64 the document number of the recovery request in the Collections and Disbursements system is no longer displayed on the Recovery screen. Instead, you navigate to the mini-CD screen.

This ensures that you always have up-to-date data from the Collections and Disbursements system.

Effects on Existing Data

To carry out subrogation, the system takes all valid payment items and analyzes the related claim, subclaim, and salvage statuses. If the conditions are met, the item is included in the subrogation case.

Effects on Data Transfer

Effects on System Administration

Carry out the configuration described below for all affected permitted coverages in internal subclaim types.

Effects on Customizing

To enable subrogation for a coverage, go to the Implementation Guide for Claims Management under Claim -> Process Control (Internal Claim Types) -> Configure Internal Claim Types. First of all choose subclaim. Under Permitted Coverage Type in the Subrogation Permitted field, choose the required setting.

Further Information

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Length: 4625 Date: 20240603 Time: 004027     sap01-206 ( 126 ms )