SAP ABAP IMG Activity SIMG_CFMENUNMOBONV7 (Define Insurance Provider Types)
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 SIMG_CFMENUNMOBONV7 Define Insurance Provider Types  
Transaction Code S_KK4_74000384   IMG Activity: SIMG_CFMENUNMOBONV7 
Created on 19990816    
Customizing Attributes SIMG_CFMENUNMOBONV7   Define Insurance Provider Types 
Customizing Activity SIMG_CFMENUNMOBONV7   Define Insurance Provider Types 
Document
Document Class SIMG   Hypertext: Object Class - Class to which a document belongs.
Document Name SIMG_CFMENUNMOBONV7    

In this IMG activity, you define insurance provider types. When maintaining business partner master data, you can assign an insurance provider to one of these insurance provider types. This enables you to combine insurance providers of the same type in groups. The parameters related to the insurance provider type enable you to control function sequences, which, alternatively, can also be controlled via the individual insurance providers. In addition, reference can be made to insurance provider types (instead of to the individual insurance providers) in control tables when insurance verification and invoicing are carried out.

Examples

IPT    Ins.Prov.Type Text

AOK    General local HI fund

BB    Federal railway

IKK    Prof. org. insurance fund

PRV    Private insurance company

Standard Settings

Entries for common insurance provider types in Germany (AOK, BB, etc.) are delivered in the standard system. These can be added to, or modified.

Activities

You define an insurance provider type by specifying the following data:

  • User-defined key (three-character, alphanumeric) in the IPT field
  • Description in the Ins. Prov. Type Text field
  • Short text in the IP Type Short Text field.

You can make further specifications on the detail screen:

  • Whether the insurance verification procedure is to be used or not. Selecting IV Procedure activates the insurance verification procedure.
  • Period (number of days) for which cost coverage is to be automatically checked in an IV request. You can change default end date determined from this specification. If no entry is made, the system sets the end date to "12/31/9999".
  • Whether a referral or admission diagnosis is required for the insurance verification requests to be printed. If printout is conditioned by such a diagnosis, select Diagnosis Required.
  • Period (number of days) for which service coverage is to be automatically checked in the case of an extension IV request. Enter the corresponding number of days in the Extension IV Request field. If no entry is made, the system sets the end date to "12/31/9999".
  • Whether the reminder procedure should be triggered if an IV request goes unanswered. To activate this procedure, select IV Reminder.
  • Deadline (number of days as of the IV request send date) after which the reminder procedure can be triggered for outstanding insurance verification requests. You enter the corresponding number of days in the Reminder After x Dys field.
  • Whether an invoice list is to be printed per insurance provider (collective invoice without separate collective invoice number) when the invoice print function is executed (Invoice List per IP indicator).
  • Radio buttons for invoice printout let you control whether single invoices only, collective invoices only, single and collective invoices, or no invoices should be printed for an insurance provider. These radio buttons have the following labels:
    • Single Invoice Only
    • Cllct. Invoice Only
    • Single + Cllct. Inv.
    • No Invoice Print
  • Number of days (as of admission) after which interim billing can take place. You specify the required number of days in the I.Bill. After x Days field.
  • Whether services for which coverage has not been confirmed can be invoiced in final billing. (Fin. Billing w/o CoC checkbox).
  • Whether services for which coverage has not been confirmed can be invoiced in interim billing. (Int.Bill. w/o CoC checkbox).
  • Whether the specification of a discharge diagnosis is a prerequisite to final billing (Fin. Bill. Diagnosis checkbox)
  • Billing type according to PPA-BDT (Germany only). You make the corresponding entry in the PPA Billing Type field. (An entry in this field is only required if you use a PPA billing system).
  • Whether an admission notification should be printed automatically. (Admission Notif. checkbox).

    Note: at present this function is not supported.

  • Whether a discharge notification should be printed automatically. (Discharge Notif. checkbox).

    Note: at present this function is not supported.

  • Whether diagnoses should be printed on the IV request. (Print Diagnosis checkbox).

    Note: at present this function is not supported.

  • Whether patients are in general subject to copayment. (Copayment Obligation checkbox) and specify the Copayment Procedure used.

Business Attributes
ASAP Roadmap ID 203   Establish Master Data 
Mandatory / Optional 1   Mandatory activity 
Critical / Non-Critical 1   Critical 
Country-Dependency A   Valid for all countries 
Assigned Application Components
Documentation Object Class Documentation Object Name Current line number Application Component Application Component Name
SIMG SIMG_CFMENUNMOBONV7 0 I010004220 Insurance Relationship 
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_TN18 V - View ONV7 1 Define Insurance Provider Types 
History
Last changed by/on SAP  19990816 
SAP Release Created in