Hierarchy
BBPCRM (Software Component) BBPCRM⤷
CRM (Application Component) Customer Relationship Management⤷
CRM_APPLICATION (Package) All CRM Components Without Special Structure Packages⤷
NPAS (Package) Application development patient accounting system
IMG Activity
| ID | BADI ISH_CONTRACT_MA | BAdI: SG, CH: Calculate Contract Scheme Maximum |
| Transaction Code | S_KK4_96000537 | IMG Activity: BADI ISH_CONTRACT_MA |
| Created on | 20020111 | |
| Customizing Attributes | BADI ISH_CONTRACT_MA | BAdI: SG, CH: Calculate Contract Scheme Maximum |
| Customizing Activity | BADI ISH_CONTRACT_MA | BAdI: SG, CH: Calculate Contract Scheme Maximum |
Document
| Document Class | SIMG | Hypertext: Object Class - Class to which a document belongs. |
| Document Name | ISH_CONTRACT_MAXIMUM |
Use
This Business Add-In (BAdI) lets you dynamically determine the maximum for a contract scheme during billing processes.
Besides the institution and the case number, the following information is available to you for this calculation:
- I_NVVF: Insurance relationship
- I_TN16: Contract scheme header data
The IS-H System uses this data to determine the value for the field VARMAX, among other things.
Meaning of the field VARMAX:
The Calculation field (technical name TN16-VARMAX) is available to you for specifying a calculation rule in the header data of a contract scheme. The values you can select for this field must have already been defined in Customizing for IS-H under SG,CH: Settings for Contract Scheme Maximum. In the BAdI, you can use this field to create various rules.
- I_RNPP10: Table containing the already processed insurance relationships each with the distributed amounts.
- Example:
- You have a case with three insurance relationships (IR):
- - A: rank 1
- - B: rank 5
- - C: rank 98
- When the BAdI is called for IR A, the table I_RNPP10 has still to be filled, since processing of IRs has not yet taken place.
- When the BAdI is called for IR B, the table contains one entry for IR A.
- When the BAdI is called for IR C, the table contains two entries, one for IR A, and the other for IR B.
- E_MAXIMUM: Maximum that the IS-H System calculated for the specified contract scheme (header level). You can modify this value in the BAdI.
- E_DAILY_MAX: Maximum per day/visit that the IS-H System calculated for the specified contract scheme (header level). You can modify this value in the BAdI.
Requirements
The system only calls the BAdI for contract schemes for which you have specified a value in the Calculation field (technical name TN16-VARMAX) in the contract scheme header data.
Standard settings
Activities
Example
Scenario:
The case has two insurance relationships. The first insurance relationship (basic insurance) covers 70 % of the costs of medical services. The supplementary insurance provides flat rate coverage of 20,000 SGD per case minus all costs borne by the basic insurance.
Implementation:
In IMG activity SG,CH: Settings for Contract Scheme Maximum in Customizing for IS-H, make an entry for your own rule. For example:
X1, short text: Reduced Maximum.
- You create a contract scheme with a Maximum per Case of SGD 20,000. Specify your rule <LSReduced Maximum' in the Calculation field.
- Assign the supplementary insurance to this contract scheme.
- You now have to implement the following logic for rule X1 in the BAdI:
Reducing the field E_MAXIMUM by the amount the first insurance relationship has already covered produces the maximum. This information is located in field COVAM in table I_RNPP10.
Business Attributes
| ASAP Roadmap ID | 257 | Create User Exits |
| Mandatory / Optional | 2 | Optional activity |
| Critical / Non-Critical | 1 | Critical |
| Country-Dependency | I | Valid for countries specified |
| Customizing Attributes | Country Key | Country Name |
|---|---|---|
| BADI ISH_CONTRACT_MA | CH | Switzerland |
| BADI ISH_CONTRACT_MA | SG | Singapore |
Maintenance Objects
| Maintenance object type | E | Business Add-In - Definition |
History
| Last changed by/on | SAP | 20020111 |
| SAP Release Created in | 463B |
