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ISH_BILLBL_REASON - Define Billing Block Reasons

ISH_BILLBL_REASON - Define Billing Block Reasons

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In this Customizing activity, you define the reasons you can specify for a billing block for a case.

You can control which billing block reasons are listed in the value help for the user using the following indicators:

  • Inpatient (inpatient case)
  • Day Pat. (day patient case)
  • Outpatient (outpatient case)
  • Inactive (entry is inactive; it is not included in the value help)

These indicators are used exclusively for the value help and do not restrict the use of billing block reasons for specific case types.

The system takes these indicators into account for the value help in case-related transactions such as invoice processing and service entry. This means you can only select values according to the case type.

In reports such as RNABILB0 (IS-H: Change Billing Block Using Conditions (Inpat./Day Pat. Cases)) and RNABILB1 (IS-H: Change Billing Block Using Conditions (Outpatient Cases)), the system displays the values defined in Customizing for all case types and their indicators (Inpatient, Day Patient, Outpatient) in the value help.

The value help does not display the inactive block reasons. However, if you want to use inactive block reasons, you can enter them manually.

Once you define billing block reasons for one institution, the billing block reason function is active for all institutions and is available on the interface for all institutions.

The following billing block reasons have been defined for Institution 1:

  • BL,,Irregularities in billing
  • IA,,Internal auditing
  • MD,,Check by MDK (German Statutory Health Insurance Medical Service)
  • IN,,Incomplete

The following indicators are selected:

  • BL: None
  • IA: Inactive
  • MD: Outpatient
  • IN: Inpatient and Day Pat.

If you specify a billing block for an inpatient case in transaction NA30N (IS-H: Case Billing), the system proposes IN as a possible block reason. You cannot enter any other block reasons in this particular context.

However, if you specify a billing block and billing block reason using report RNABILB0, you can specify all billing block reasons (BL, IA, MD, and IN) for this case, but only the active block reasons BL, MD, and IN are listed in the value help.






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