SAP ABAP IMG Activity SIMG_CFMENUNMO3ON33 (Maintain Parameters for Copayment Requests)

Hierarchy

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BBPCRM (Software Component) BBPCRM
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CRM (Application Component) Customer Relationship Management
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CRM_APPLICATION (Package) All CRM Components Without Special Structure Packages
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NBAS (Package) Appl. development Hospital System master data, catalogs

IMG Activity

ID	SIMG_CFMENUNMO3ON33	Maintain Parameters for Copayment Requests
Transaction Code	S_KK4_74000083	IMG Activity: SIMG_CFMENUNMO3ON33
Created on	19990816
Customizing Attributes	SIMG_CFMENUNMO3ON33	Maintain Parameters for Copayment Requests
Customizing Activity	SIMG_CFMENUNMO3ON33	Maintain Parameters for Copayment Requests

Document

Document Class	SIMG	Hypertext: Object Class - Class to which a document belongs.
Document Name	SIMG_CFMENUNMO3ON33

This Customizing activity describes the settings required for the automatic posting of demands for copayment from the IS-H system.

You must declare settings you have already made in Financial Accounting to the IS-H system.
You also specify parameters to define how the IS-H system is to make postings in Financial Accounting.
A number of the settings are independent of the copayment procedure. These parameters are listed in the Global Settings group box.
Other settings relate to the copayment procedure being used. These parameters are listed in the Collection Procedure and Receivable Procedure group boxes.
You specify parameters for the automatic generation of demands for copayment in the Generate Copayment Request/Receivable group box.

Requirements

Before doing this, you should find out whether the receivable procedure and/or collection procedure is relevant in your institution.

First, make the settings in Financial Accounting. For example, this involves defining the following:

Please note that the transactions defined in Financial Accounting must have the correct properties and should be used exclusively for copayment.

Define Special G/L Transactions

If copayment is to be performed in your institution using the collection procedure, you require two special G/L transactions:

One for the copayment request
The other for the copayment made.

To define a special G/L transaction, you must do the following:

Assign a special G/L indicator
Define an alternative reconciliation account
Maintain properties
Maintain transaction types
Maintain posting keys

To define the special G/L transaction Copayment Request, proceed as follows:

Select Noted Items in the Properties group box.
Enter the indicator for the copayment in the Target Sp. G/L Ind. field.
Select the transaction type Others.
Assign a Debit and Credit Posting Key.
Specify the Alternative Reconciliation Account.

For more information, see Other Special G/L Transactions in the Financial Accounting Implementation Guide.

Define Posting Keys

If copayment is to be performed in your institution using the receivable procedure, you require the following posting keys:

A debit posting key for posting the receivable
A credit posting key for reversing the receivable
A credit posting key for the copayment credit memo
A debit posting key for reclaiming the copayment credit memo
A debit posting key for clearing the reversal of the receivable
A credit posting key for clearing the reversal of the receivable

Select the Sales-Relevant checkbox for all the posting keys, and choose the account type Customer.

When maintaining the field status, keep in mind that the system cannot post copayment automatically if you hide fields that are filled by the transaction or define fields that are not filled by the transaction as required entry fields.

Recommendation

If possible, do not change the field status.

For more information, see Define Posting Keys in Customizing for Financial Accounting.

Global Settings

This group box contains parameters that are independent of the copayment procedure:

Due Date
This date field is filled by the IS-H system. You can decide which date is to be used from among the following options:

Date relative to the admission date
Date relative to the discharge date
Date relative to the system date
If you do not specify a rule, the system uses the date from the transaction.

You can specify a dunning key from Financial Accounting in the Dunning Key field if you want a dunning key to be included when the demand for copayment is posted.
In the Tax Code field, you can specify a tax code that is to be used for the copayment. Since copayment is usually non-taxable, you can also leave this field blank. If the G/L account requires you to enter a tax code, you can enter a tax code that does not calculate any tax (for example, A0).
You can specify the text that is to appear in the document header by entering it in the Doc. Head. Text field.
You can either specify the text for the document item or control it using a formatting variant. If you want to use a constant text, enter it in the Line Item Text field.
The following formatting variants are available:

=P1 for patient's name and birthdate
=P2 for last name, first name, birthdate, and admission date
=P3 for '*', last name, first name, birthdate, and admission date
You can define your own formatting routines as follows:
Note that the function module must use the following interface:
Import parameters:
EINRI reference structure TN01-EINRI - institution
FALNR reference structure NFAL-FALNR # case number
PATNR reference structure NPAT-PATNR # patient number
Export parameters:
POSTEXT reference structure BSEG-SGTXT # formatted line item text

You can specify a default dunning area in the field of the same name.
In the Dun. Deadline field, you specify the number of days that have to elapse after dunning the copayment request before the items are transferred to the list of irrecoverable receivables.
You can reverse these items by choosing Charge Off Copayment (collection procedure) or transfer them to the insurance provider's account by choosing Post Copayment Back (receivable procedure).
In both cases, the system creates a list of the copayments not received for the relevant insurance provider.
Please note that the dunning area " " is not transferred to FI. In other words, if the dunning area is a required entry field in FI, you should specify a value other than " " here. If the Dunning Area field is not ready for input (for example, because dunning has been deactivated for each dunning area) due to certain settings in FI, you should store the value # #.
Enter a reason for reversal that is defined in FI in the Reversal Rsn field. This is used when the system automatically reverses a copayment request. A copayment request is automatically reversed in the following situations:

A copayment made is posted in the copayment transaction
A change is made to the copayment request amount in the case-related insurance relationship and the system parameter Create Copayment Receivable (Copayment Request) in Case-Related Insurance Relationship is selected in the Healthcare Implementation Guide.

Collection Procedure

You make the settings for the collection procedure in the Collection Procedure group box.

Enter the special G/L indicator for the copayment request in the Sp. G/L Indic. field.
Enter the posting keys for the copayment request in the Debit Post. Key and Cred. Post. Key fields.
Enter the document type that is to be used for the copayment request, provided you do not change the document type in the application.
You can make user-specific settings by means of the user parameter NBA.
You specify a dunning block in the Dunning Block field.
Enter the reason for reversal that is to be used when a dunned and unpaid copayment request is written off in the Write-Off group box. Please note that the reversal reason must have been defined in FI beforehand.

Receivable Procedure

You make the following settings for the receivable procedure in the Receivable Procedure group box:

Maintain the debit and credit posting keys in the Receivable group box.
The document type is used for the copayment receivable if you do not change it in the transaction. You can make user-specific settings by means of the user parameter NBF.
A dunning block can be set in the credit memo item when the copayment request is posted. This prevents the dunning program from taking this credit memo into account as long as the corresponding invoice has not been posted. The IS-H system automatically cancels the dunning block at invoice printout provided a copayment is deducted from the invoice.
You can decide whether or not to set a dunning block. To do this, enter the following i

Business Attributes

ASAP Roadmap ID	204	Establish Functions and Processes
Mandatory / Optional	1	Mandatory activity
Critical / Non-Critical	1	Critical
Country-Dependency	E	Invalid for countries specified

Customizing Attributes	Country Key	Country Name
SIMG_CFMENUNMO3ON33	NL	Netherlands

Assigned Application Components

Documentation Object Class	Documentation Object Name	Current line number	Application Component	Application Component Name
SIMG	SIMG_CFMENUNMO3ON33	0	I010004223	Copayment

Maintenance Objects

Maintenance object type

Customizing Object

Assigned objects
Customizing Object	Object Type	Transaction Code	Sub-object	Do not Summarize	Skip Subset Dialog Box	Description for multiple selections
V_TN22Q	V - View	ON32	0000000001			Maintain Parameters for Copayment Requests

History

Last changed by/on	SAP	19990816
SAP Release Created in

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