SAP ABAP IMG Activity ISH_ZUZ_BETRAG_PRO_T (Maintain Copayment Amount per Day by Insurance Provider)
Hierarchy
☛ BBPCRM (Software Component) BBPCRM
   ⤷ CRM (Application Component) Customer Relationship Management
     ⤷ CRM_APPLICATION (Package) All CRM Components Without Special Structure Packages
       ⤷ NBAS (Package) Appl. development Hospital System master data, catalogs
IMG Activity
ID ISH_ZUZ_BETRAG_PRO_T Maintain Copayment Amount per Day by Insurance Provider  
Transaction Code S_KK4_74000082   IMG Activity: ISH_ZUZ_BETRAG_PRO_T 
Created on 19990816    
Customizing Attributes ISH_ZUZ_BETRAG_PRO_T   Maintain Copayment Amount per Day by Insurance Provider 
Customizing Activity ISH_ZUZ_BETRAG_PRO_T   Maintain Copayment Amount per Day by Insurance Provider 
Document
Document Class SIMG   Hypertext: Object Class - Class to which a document belongs.
Document Name ISH_ZUZ_BETRAG_PRO_T    

Use

In this IMG activity, you define the copayment amount per day. You need the copayment amount per day in the copayment transaction to enable the system to automatically convert the specified copayment days into an amount. Alternatively, you can also enter an amount in the copayment transaction directly (e.g. if a patient only makes a partial payment).

You can define the copayment amount per day in relation to the insurance provider type or a particular insurance provider. The table is institution-specific in order to support different copayment amounts in different institutions, if required.

Activities

  • Check which copayment amounts per day apply to which insurance providers requiring copayment and the corresponding validity periods.
  • If different copayment amounts exist for insurance providers, consider which amounts you have to maintain in relation to the insurance provider type and in relation to the individual insurance providers.
  • The table contains two fields for the copayment amount. The first field (Amount 1) is always relevant.
  • Specify for what purpose the copayment is used in the U field (Usage). Enter D1 if the copayment corresponds to the statutory requirement for inpatient cases in Germany. You can define your own usage by means of SAP enhancement NZUZ0001.
  • The copayment amount is also time-dependent. When maintaining the table, make sure that the periods you define do not overlap.

Access Sequence

Specific entries take precedence over general rules. Thus, an entry for a particular insurance provider takes precedence over an entry for the corresponding insurance provider type.

An entry with insurance provider "*" and insurance provider type "*" defines the copayment amount for all insurance providers and insurance provider types for which no specific entry has been made.

Example

The table contains the following (simplified) entries:

Ins.Prov.        IPT        Amount 1        Amount 2        Currency

AOK Berlin        *            7            5            EUR

*                AOK            6            5            EUR

*                *            8            4            EUR

  • The system determines a copayment amount of 7 euro for a case with insurance provider AOK Berlin.
  • The system determines a copayment amount of 6 euros for all other insurance providers of insurance provider type AOK.
  • The system determines an amount of 8 euros or all remaining insurance providers.

Further notes

You can stipulate a currency for each interval. Note that it does not make sense to create identical periods in the same currency. Since the currency in this table is used for the automatic generation of copayment requests, only one currency must be stipulated for each interval.

For more information on customer-specific usage, see the documentation on SAP enhancement NZUZ0001.

Business Attributes
ASAP Roadmap ID 203   Establish Master Data 
Mandatory / Optional 3   Nonrequired activity 
Critical / Non-Critical 2   Non-critical 
Country-Dependency I   Valid for countries specified 
Customizing Attributes Country Key Country Name
ISH_ZUZ_BETRAG_PRO_T DE Germany
Assigned Application Components
Documentation Object Class Documentation Object Name Current line number Application Component Application Component Name
SIMG ISH_ZUZ_BETRAG_PRO_T 0 I010004223 Copayment 
Maintenance Objects
Maintenance object type C   Customizing Object 
Assigned objects
Customizing Object Object Type Transaction Code Sub-object Do not Summarize Skip Subset Dialog Box Description for multiple selections
V_TN22K V - View SM30 0000000000 IS-H: Copayment Amount per Ins. Provider/Ins. Provider Type 
History
Last changed by/on SAP  19990816 
SAP Release Created in