SAP ABAP IMG Activity SIMG_ICL_VC_TICL288 (Define Function Profiles)
Hierarchy
☛ INSURANCE (Software Component) SAP Insurance
   ⤷ FS-CM (Application Component) Claims Management
     ⤷ ICL_MULTIPLE_INSURANCE (Package) FS-CM: Multiple Insurance
IMG Activity
ID SIMG_ICL_VC_TICL288 Define Function Profiles  
Transaction Code S_KK4_08000686   (empty) 
Created on 20040119    
Customizing Attributes SIMG_ICL_VC_TICL288   Define Function Profiles 
Customizing Activity SIMG_ICL_VC_TICL288   Define Function Profiles 
Document
Document Class SIMG   Hypertext: Object Class - Class to which a document belongs.
Document Name _ICL_VC_TICL288    

Use

In this IMG activity you define the possible function profiles.

You can define a maximum of two functions for each function profile. The functions grouped together in a function profile cannot be executed individually, but only jointly.

Make the following settings for a function:

  • To activate a function you must set the Add Item flag (Add Payment Item).
  • Assign a payment item type to the function.

    In claims processing, a payment item of this payment item type is created for each function.

    Note: If you define two functions for a function profile, you must note the following:

    You must assign payment item types to both functions in which one of the following conditions is met:

    • With both assigned payment benefit types, a benefit type has been assigned in IMG activity Define Payment Item Types.
    • With both assigned payment benefit types, no benefit type has been assigned in IMG activity Define Payment Item Types.
  • You can set the following flags:

In this IMG activity you only define the possible function profiles.

Then, in IMG activity Define Function Profile Determination, you define which function profiles should be used in creation of a payment related to multiple insurance.

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 -> Mapping Multiple Insurance -> Payment in Multiple Insurance.

Requirements

You have executed IMG activity Define Payment Item Types.

Standard settings

Activities

Maintain the function profiles according to your requirements.

Example

  • If a participant (not the leading insurer) performs own settlement in coinsurance, you must set the following indicators for the function:
    • Add Item
    • Reverse +/-

      This function reduces the payment item by the share specified in the distribution plan.

  • If a benefit in coinsurance is settled by the leading insurer and a receivable is to be posted to the participant, you must set the following flags for a function:
    • Add Item
    • Include Coinsurance Key

      This function creates a receivables posting to the participant in the SAP Collections & Disbursements system (FS-CD).

Business Attributes
ASAP Roadmap ID 204   Establish Functions and Processes 
Mandatory / Optional 2   Optional activity 
Critical / Non-Critical 1   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_TICL288 C - View cluster SM34  
History
Last changed by/on SAP  20040119 
SAP Release Created in 472