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SIMG_CFMENUNMO3ONAA - XV1 (Insurance Verification): Maintain Contract Schemes

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Contract schemes let you qualify the insurance information pertaining to an insurance relationship for a case.

You can specify different contract schemes for each institution. Contract schemes are independent of insurance providers and insurance provider types.

You can use the following contract schemes:

• Standard insurance (for inpatient and outpatient hospital services)

• Inpatient supplementary insurance - semi-private room

• Inpatient supplementary insurance - private room

The initial value here is the standard contract scheme.

1. Check whether you require different contract schemes in your institution.
2. Create the contract schemes.

In relation to these contract schemes, you can make further default settings (default values, pre-approved insurance) that control how insurance verification is carried out with each insurance provider.

For more information about this, refer to the sections entitled

• Maintain Pre-Approved Insurance

• Maintain Default Values

Country version Austria:

You can also control the generation of services via the service rule AK using the contract scheme. (For more information about this, refer to the section entitled AT: Service Generation.

SUBST_MERGE_LIST - merge external lists to one complete list with #if... logic for R3up   General Material Data  
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