Hierarchy
INSURANCE (Software Component) SAP Insurance⤷
FS-CM (Application Component) Claims Management⤷
ICL_CDC (Package) FS-CM: Data Capture
IMG Activity
| ID | SIMG_ICL_TICL022 | Define Reasons for Rejecting Claim Items |
| Transaction Code | S_KK4_08000022 | IMG Activity: |
| Created on | 19990906 | |
| Customizing Attributes | SIMG_ICL_TICL022 | Claim Item Rejection Reason |
| Customizing Activity | SIMG_ICL_TICL022 | Claim Item Rejection Reason |
Document
| Document Class | SIMG | Hypertext: Object Class - Class to which a document belongs. |
| Document Name | _ICL_TICL022 |
Use
In this IMG activity you define reasons for rejecting a claim item.
If the user in claims processing wants to reject a claim item, he/she has to specify a reason for doing so.
Manual rejection reasons
In IMG activity Configure Internal Claim Types, you define at subclaim level which rejection reasons are permitted for each subclaim type. The system displays these rejection reasons in the F4 input help. Users can select a rejection reason manually.
Automatic rejection reasons
In IMG activity Configure Benefit Type Trees you define the automatic rejection reason for a benefit type that is not covered, at the following places
- at the level of permitted benefit types
If you define a rejection reason here, this means that the benefit type is never covered.
- at the level of limit/deductible per benefit type
If you define a rejection reason here, this means that the benefit type is not covered for one of the following reasons:
- the specified coverage type
- the loss location, in other words the country or region in which the limit applies
- a BRF expression for application of limits and deductibles
Requirements
Standard settings
Activities
Example
- Not covered by the contract
- Own fault
Business Attributes
| ASAP Roadmap ID | 204 | Establish Functions and Processes |
| Mandatory / Optional | 2 | Optional activity |
| Critical / Non-Critical | 2 | Non-critical |
| Country-Dependency | A | Valid for all countries |
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 |
| TICL022 | S - Table (with text table) | SM30 |
History
| Last changed by/on | SAP | 20021127 |
| SAP Release Created in |
