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ISH_EO_BILLTYP_DET - Determine Billing Types

ISH_EO_BILLTYP_DET - Determine Billing Types

SUBST_MERGE_LIST - merge external lists to one complete list with #if... logic for R3up   SUBST_MERGE_LIST - merge external lists to one complete list with #if... logic for R3up  
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In this IMG activity you can stipulate which billing type is to be used for a special service for the external order.

You can use the following criteria:

  • Institution
  • Order Type
  • Performing Organizational Unit
  • Service Catalog
  • Service
  • Service Category

You can also use masking (* entry) for certain criteria.

At billing, the system uses these values to determines the billing type for each individual service.

You make an entry for billing type determination by specifying

  • Institution
  • Order Type (for example, 'O'= medical opinion, can be masked using '*' )
  • Performing OU (for example, SURG1 = surgery 1, can be masked using '*' )
  • Service Catalog (can be masked using '*' )
  • Service (can be masked using '*' )
  • Service Category (can be masked using '*' )
  • Billing Type to be used.
Inst. O Perf.OU SC Service SvceCtgry BT
1000 * SURG1 * * * EO

The above example stipulates that for the institution 1000 and the performing OU SURG1, the system is to use the billing type EO to bill for any service or service category.

*
  • The specification of certain criteria is optional and you can make masked specifications using an asterisk (*). Partly generic masking (for example 'SURG*' in the Perf.OU field) is not allowed.
  • The possibility to use masking means that you have to define a specific sequence in which the system is to access the rules. Before maintaining the rules, see the access steps for rule interpretation.

Access Steps

More specific rules take priority over more general rules. For example, an entry for a service takes priority over a specification at service category level.

Thus the entries in the table that – starting from the left – do not have an * apply.






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