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(Statutory) Care Insurance (New) ( RELNFSCM_471_CAREINSUR )

(Statutory) Care Insurance (New) ( RELNFSCM_471_CAREINSUR )

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Short text

(Statutory) Care Insurance (New)

Use

As of Release 4.71 the Statutory Care Insurance line is supported in the Claims Management system.

The following functionalities are available for statutory care insurance:

  • You can create a request for home health care for all permitted coverage types in the form of a procurement document. The system checks the existing approvals during the creation process. There may only be one approval for each request. The only incidence in which more than one approval is permitted, is if reversed approvals exist.
  • You can cancel (reverse) a request.
  • You can reject a request.
  • You can transfer the data from a request to the approval.
  • You can check existing care levels by comparing data on business partners. The only area in which this is not possible is with coverage type Ongoing Care.
You can also create a new care level.
  • You can create an approval for home health care for all permitted coverage types. Data is changed if the request is locked.
  • You can cancel (reverse) an approval.
  • You can reject an approval.
  • You can approve an approval.
  • At subclaim level you can view all previous claims of the relevant claimant. You can restrict the display to one or several coverage types.
  • The system displays the relevant status information at the level of the relevant procurement document.

Effects on Existing Data

Effects on Data Transfer

The system stores the data of the request or the approval in the ICLPROCURE table.

Exceptions:

  • The data from the grid controls is stored in the ICLITEM table.
  • The data from structured facts capture is stored in the ICLLOSSDES table.
  • The data on the occurrences of claim participants is stored in the ICLPARTOCC table.

Effects on System Administration

Effects on Customizing

Perform the required IMG activities for use of care insurance. In particular, these are:

Further Information






CL_GUI_FRONTEND_SERVICES - Frontend Services   RFUMSV00 - Advance Return for Tax on Sales/Purchases  
This documentation is copyright by SAP AG.

Length: 3139 Date: 20240603 Time: 092340     sap01-206 ( 39 ms )