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SIMG_ICL_VC_TICL288 - Define Function Profiles

Addresses (Business Address Services)   CL_GUI_FRONTEND_SERVICES - Frontend Services  
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Use

In this IMG activity you define the possible function profiles.

You can define a maximum of two functions for each function profile. The functions grouped together in a function profile cannot be executed individually, but only jointly.

Make the following settings for a function:

• To activate a function you must set the Add Item flag (Add Payment Item).

• Assign a payment item type to the function.

In claims processing, a payment item of this payment item type is created for each function.

Note: If you define two functions for a function profile, you must note the following:

You must assign payment item types to both functions in which one of the following conditions is met:

• With both assigned payment benefit types, a benefit type has been assigned in IMG activity Define Payment Item Types.

• With both assigned payment benefit types, no benefit type has been assigned in IMG activity Define Payment Item Types.

• You can set the following flags:

• Reverse +/- (Reverse +/- Sign)

• Include Coins.Key (Include Coinsurance Key)

See below for examples.

In this IMG activity you only define the possible function profiles.

Then, in IMG activity Define Function Profile Determination, you define which function profiles should be used in creation of a payment related to multiple insurance.

Requirements

You have executed IMG activity Define Payment Item Types.

Standard settings

Activities

Maintain the function profiles according to your requirements.

Example

• If a participant (not the leading insurer) performs own settlement in coinsurance, you must set the following indicators for the function:

• Add Item

• Reverse +/-

This function reduces the payment item by the share specified in the distribution plan.

• If a benefit in coinsurance is settled by the leading insurer and a receivable is to be posted to the participant, you must set the following flags for a function:

• Add Item

• Include Coinsurance Key

This function creates a receivables posting to the participant in the SAP Collections & Disbursements system (FS-CD).

RFUMSV00 - Advance Return for Tax on Sales/Purchases   CPI1466 during Backup  
This documentation is copyright by SAP AG.

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