Hierarchy
⤷ FS-CM (Application Component) Claims Management
⤷ ICL_BASIS (Package) FS-CM: General Functionality
IMG Activity
ID | SIMG_ICL_TICL110RXPD | Define Limits for Expenditure Reserves for Each Authorization Group |
Transaction Code | S_KK4_08000726 | (empty) |
Created on | 20040629 | |
Customizing Attributes | SIMG_ICL_TICL110RXPD | Define Limits for Expenditure Reserves for Each Authorization Group |
Customizing Activity | SIMG_ICL_TICL110RXPD | Define Limits for Expenditure Reserves for Each Authorization Group |
Document
Document Class | SIMG | Hypertext: Object Class - Class to which a document belongs. |
Document Name | _ICL_TICL110_RESEXPD |
Use
In this IMG activity you define the limits up to which a user in an authorization group may execute a certain activity (see below) when processing an expenditure reserve.
You can define the following limits:
- In the Payt/ResLimit field, the limit for a reserve change
This means that the user may only increase a reserve by an amount that does not exceed this limit.
Example: The limit is USD 2000. As a result, the user may only increase the reserve by a maximum amount of USD 2000.
- In the Limit per Subclm Type field, the limit per subclaim type within a claim
This means that the user may only change the overall reserve for a subclaim type if this limit is not exceeded. The limit refers to the cumulated reserve amount for the specified subclaim type within a claim.
If you define a limit per subclaim type, you must also specify the relevant subclaim type in the Subclaim Type field.
Note: Consider that you also define limits here for superiors who receive notification of a reserve increase or who have to approve or reject a reserve increase.
The limit depends on the:
- Insurance line of business
- Activity
The following activities are relevant for processing of an expenditure reserve:
- Create or increase expenditure reserve (just notification)
- Create or increase expenditure reserve (for approval)
- Approve or reject expenditure reserve (just notification)
- Approve or reject expenditure reserve (for approval)
- Currency
At the level of Amount Authorizations Reserves (per Reserve Type), you can also define the two limits dependent on a reserve type. This means that the limit then only refers to the specified reserve type.
If you define limits dependent on a reserve type (in other words, at the level of Amount Authorizations Expenditure Reserves) and also not dependent on a reserve type, the system firstly considers the limits that have been defined dependent on a reserve type.
Authorization Check Trigger
In claims processing, if a claim handler exceeds the relevant limit when he or she sets the expenditure reserve, a superior is informed automatically via workflow in accordance with the dual control principle. There are two different types of limit:
The superior must have the appropriate authorization.
Execution of Authorization Check
In this authorization check, the system takes all the entries found for the relevant authorization groups (authorization object I_ICL_AGRP) and checks whether the user is assigned to an authorization group. The "initial" authorization group (in other words, it does not contain any value) is not checked. It is regarded by the system as having authorization.
Additional hints
You can find more information in the Application Help for the Claims Management system under Claims Management -> Claim -> Cross Line of Business Concepts in Claims Processing -> Reserving -> Authorization Check for Reserves.
Requirements
You have performed the following IMG activities:
- Define Insurance Line of Business
- Define Subclaim Types
- Define Authorization Groups
- Define Reserve Types
Standard settings
Activities
Example
Business Attributes
ASAP Roadmap ID | 203 | Establish Master Data |
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 |
VC_TICL110RSEXPD | C - View cluster | SM34 |
History
Last changed by/on | SAP | 20050208 |
SAP Release Created in | 473 |