Ansicht
Dokumentation

SIMG_ICL_TICL022 - Define Reasons for Rejecting Claim Items

PERFORM Short Reference   General Material Data  
This documentation is copyright by SAP AG.

Use

In this Customizing activity, you define reasons for rejecting a claim item.

If the user wants to reject a claim item in claims processing, they must enter a reason for doing so.

In the Customizing activity Configure Internal Claim Types, you define at subclaim level which rejection reasons are permitted for each subclaim type. The system displays these rejection reasons in the F4 input help. Users can select a rejection reason manually.

In the Customizing activity Configure Benefit Type Trees, you can define an automatic rejection reason for a benefit type that is not covered. You can define an automatic rejection reason in the following places:

• At the level of permitted benefit types

If you define a rejection reason here, this means that the benefit type is never covered.

• At the level of limit/deductible per benefit type

If you define a rejection reason here, this means that the benefit type is not covered for one of the following reasons:

• The specified coverage type

• The loss location, in other words the country or region in which the limit applies

• A BRFplus expression for application of limits and deductibles

Requirements

Standard settings

Activities

Example

• Not covered by the contract

• Own fault

General Data in Customer Master   PERFORM Short Reference  
This documentation is copyright by SAP AG.

Length: 2428 Date: 20240607 Time: 160837     sap01-206 ( 34 ms )