Hierarchy
INSURANCE (Software Component) SAP Insurance⤷
FS-CM (Application Component) Claims Management⤷
ICL_IBNR (Package) Processing IBNR Reserves
IMG Activity
| ID | SIMG_ICL_TICL867_H | Assign Version, Reserve Gp Cluster, Res Gp, and Procedure to Res Gp Cat. |
| Transaction Code | S_KK4_08000525 | (empty) |
| Created on | 20021011 | |
| Customizing Attributes | SIMG_ICL_TICL867_H | Assign Version, Reserve Gp Cluster, Res Gp, and Procedure to Res Gp Cat. |
| Customizing Activity | SIMG_ICL_TICL867_H | Versions, Res.Gp Cluster, Res.Gp and Procedures of Res.Gp |
Document
| Document Class | SIMG | Hypertext: Object Class - Class to which a document belongs. |
| Document Name | _ICL_TICL867_H |
Use
In this IMG activity you assign the following to a reserve group category:
- Version of reserve group cluster
- For each version, assign the related reserve group cluster.
In addition, define the following for the reserve group cluster:
- Sequence of procedures in reserving and thus the sequence of cost calculation rules
- IBNR driver for this reserve group cluster
- For each reserve group cluster, assign the relevant reserve groups
You can find further information on creating IBNR reserves in the application help for the Claims Management system (path: Claims Management -> Claim -> Business Concepts in the Claims Management System -> Claims Financials in the Claims Management System -> Reserves -> Batch Reserves -> IBNR Reserves).
Requirements
Standard settings
Activities
Example
Below is an example for configuration of IBNR reserves in the area of hospitals:
Reserve group category
All available indicatives are grouped together in a reserve group category.
Reserve group category Indicative
Hospital case Hospital no.
Department
Gender
Age
Reserve groups
The total scope of indicatives defined in the reserve group categories is grouped into meaningful combinations.
You are not yet able to create reserves at this level.
Reserve group Indicatives of this reserve group Values of indicative
Reserve group A Hospital University Hospital Newtown
Department Internal medicine
Diagnosis Diabetes
Gender Male
Age 35-40
Reserve group B Hospital University Hospital Newtown
Department Internal medicine
Diagnosis Diabetes
Gender Male
Age 45-50
Legend:
Reserve group A covers all insured males aged 35 to 40 with diabetes.
Reserve group B covers all insured males aged 45 to 50 with diabetes.
Reserve group cluster
Several reserve groups are grouped together in a reserve group cluster.
A reserve group cluster is the lowest level at which you can create reserves. At this level you also create a sequence and assign an IBNR driver.
In the following example the two reserve groups A and B are grouped together in reserve group cluster AB. In other words, they form a reserve group cluster for all insured males aged 35 to 40 and 45-50 with diabetes. This means that males aged 40-45 are excluded from this reserve creation.
Reserve group cluster Reserve groups
Reserve group cluster AB Reserve group A with all males aged 35-40
Reserve group B with all males aged 45-50
Version of reserve group cluster
You now want to create reserves for reserve group cluster AB for the individual quarters of the year 2002. To do so you can create versions of the reserve group cluster.
Version Reserve group cluster
Q1 2002 Reserve group cluster AB
Q2 2002 Reserve group cluster AB
Q3 2002 Reserve group cluster AB
Q4 2002 Reserve group cluster AB
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_TICL867_HEALTH | C - View cluster | SM34 |
History
| Last changed by/on | SAP | 20021021 |
| SAP Release Created in | 471 |
