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SIMG_ICL_TICL007 - Define Insurance Line of Business

ROGBILLS - Synchronize billing plans   General Material Data  
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Use

In this Customizing activity you define the insurance lines of business available in the Claims Management system.

Make the following settings for each insurance line of business:

• Key of insurance line of business

• Name of insurance line of business

• If you do not want a particular insurance line to be available in the application, set the Suppress LOB indicator. The insurance line is then not displayed in the application in the input help.

• For the line of Life Benefit, set the indicator W/o Prodct. The system then uses the scenario 'Claim Without Product Customizing'.

For more information, see the Application Help for SAP Claims Management under Claims Management → Claim → Life-Specific Concepts in Claims Processing → Customizing Settings for Life Benefit → "Claim Without Product Customizing" Scenario.

Caution: Only set this indicator with the line of Life Benefit.

• Assign a policy product as a standard policy product to the insurance line of business.

Using this standard policy product you can create a claim for the insurance line of business, without having to know the contract. You do not need to state the contract until you want to finally settle the claim.

Example:

You define the insurance line of business Auto Insurance and assign the policy product K2000 (Auto Private) as the standard policy product to this insurance line of business.

When you create a claim and enter the insurance line of business first (Auto Insurance in our case), the system automatically takes the standard policy product that has been defined (K2000 in our case).

You need insurance lines of business for the following:

• Configuration of policy products:

In Customizing activity Configure Policy Product you assign each policy product to exactly one insurance line of business. This means that policy products are grouped by the insurance line of business.

• Configuration of tolerance groups:

When you define permitted combinations of insurance lines of business, user name, and user group for the procurement process (Customizing path: Claims Management -> Claim -> Business Settings -> External Services Integration -> Tolerance for Procurement -> Assign User to Tolerance Group)

Requirements

Standard settings

Activities

Example

• Health insurance

• Care insurance

• Auto insurance

• Buildings insurance

Fill RESBD Structure from EBP Component Structure   Vendor Master (General Section)  
This documentation is copyright by SAP AG.

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