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SIMG_ICL_TICL110RXPD - Define Maximum Amounts for Expenditure Reserves f. Each Authorization Group

SIMG_ICL_TICL110RXPD - Define Maximum Amounts for Expenditure Reserves f. Each Authorization Group

CL_GUI_FRONTEND_SERVICES - Frontend Services   PERFORM Short Reference  
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Use

In this IMG activity you define the maximum amounts up to which a user in an authorization group may execute a certain activity (see below) when processing an expenditure reserve.

You can define the following maximum amounts:

  • In the Payt/ResLimit field, the maximum amount for a reserve change
This means that the user may only increase a reserve by an amount that does not exceed this maximum amount.
Example: The maximum amount is USD 2000. As a result, the user may only increase the reserve by a maximum of USD 2000.
  • In the Limit per Subclm Type field, the maximum amount per subclaim type within a claim
This means that the user may only change the overall reserve for a subclaim type if this maximum amount is not exceeded. The maximum amount refers to the cumulated reserve amount for the specified subclaim type within a claim.
If you define a maximum amount per subclaim type, you must also specify the relevant subclaim type in the Subclaim Type field.

Note: Consider that you also define maximum amounts here for superiors who receive notification of a reserve increase or who have to approve or reject a reserve increase.

The maximum amount depends on the following:

  • Insurance line of business
  • Activity
The following activities are relevant for processing of an expenditure reserve:
  • Create or increase expenditure reserve (just notification)

  • Create or increase expenditure reserve (for approval)

  • Approve or reject expenditure reserve (just notification)

  • Approve or reject expenditure reserve (for approval)

  • Currency

At the level of Amount Authorizations Reserves (per Reserve Type),you can also define the two maximum amounts dependent on a reserve type. This means that the maximum amount then only refers to the specified reserve type.

If you define maximum amounts dependent on a reserve type (in other words, at the level of Amount Authorizations Expenditure Reserves) and also not dependent on a reserve type, the system firstly considers the maximum amounts that have been defined dependent on a reserve type.

In claims processing, if a claim handler exceeds the relevant maximum amount when he or she sets the expenditure reserve, a superior is informed automatically via workflow in accordance with the dual control principle. There are two different types of maximum amount:

The superior must have the appropriate authorization.

In the authorization check, the system takes all the entries found for the relevant authorization groups (authorization object I_ICL_AGRP) and checks whether the user is assigned to an authorization group. The "initial" authorization group (in other words, it does not contain any value) is not checked. It is regarded by the system as having authorization.

You can find more information in the Application Help for the Claims Management system under Claims Management → Claim → Cross Line of Business Concepts in Claims Processing → Reserving → Authorization Check for Reserves.

Requirements

Standard settings

Activities

Example






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