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ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced) ( RELNISH_607_ISHCVFR_WG01 )

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced) ( RELNISH_607_ISHCVFR_WG01 )

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Short text

ISH_CV_FR: EDI Procedure VIDHOSP – Unbilled Cases (Enhanced)

Use

As of SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 617), business function SAP Patient Management: Country Version France (ISH_CV_FR), as well as in the Support Packages listed below, the following enhancements have been made to the EDI procedure VIDHOSP:

  • Until now, the system only took account of unbilled cases for healthy newborns and patients in EDI communication if the SI billing indicator Coverage Percentage Rate Open or Confirmation of Coverage Open was selected.
From now on, these cases are also taken into account in the VIDHOSP communication procedure FRVID if the social insurance billing indicator Coverage by SI is selected. However, cases for which the social insurance billing indicator is not selected or where the indicator has the value No Coverage, are still not included in the VIDHOSP communication procedure.
  • The system also processes the Reimbursement Rate (RRATE) field for the messages for the unbilled cases described above.
  • The service rules must also be processed for unbilled cases to ensure that the VIDHOSP message is filled correctly, in particular with regard to exemptions and coverage portions. For this reason, the report executes all the service rules configured in Customizing for event NLRG20 (service check before EDI communication). Please note that in this callup point - as is the case for all events that can involve mass processing - the service rules only perform an action if you have selected "Actions Without Confirmation and in Batch Input" for the service actions.

For more information, see the Healthcare Implementation Guide under SAP Healthcare - Industry-Specific Components for Hospitals -> Patient Accounting -> Service Rules -> Maintain Check Procedure.

This enhancement is available with the following Support Packages:

  • SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business function SAP Patient Management Country Version France (ISH_CV_FR), Support Package 18
  • SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business function SAP Patient Management Country Version France (ISH_CV_FR), Support Package 10
  • SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function SAP Patient Management Country Version France (ISH_CV_FR), Support Package 02

Effects on Existing Data

Effects on Data Transfer

Effects on System Administration

Effects on Customizing

Further Information






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