SAP ABAP Data Element ICL_HIERARCHY_LEVEL (Hierarchy Level of Claim Item Grouping Category)
Hierarchy
☛ INSURANCE (Software Component) SAP Insurance
   ⤷ FS-CM (Application Component) Claims Management
     ⤷ ICL_CDC (Package) FS-CM: Data Capture
Basic Data
Data Element ICL_HIERARCHY_LEVEL
Short Description Hierarchy Level of Claim Item Grouping Category  
Data Type
Category of Dictionary Type D   Domain
Type of Object Referenced     No Information
Domain / Name of Reference Type ICL_HIERARCHY_LEVEL    
Data Type NUMC   Character string with only digits 
Length 2    
Decimal Places 0    
Output Length 2    
Value Table      
Further Characteristics
Search Help: Name    
Search Help: Parameters    
Parameter ID   
Default Component name    
Change document    
No Input History    
Basic direction is set to LTR    
No BIDI Filtering    
Field Label
  Length  Field Label  
Short 10 Hier.Level 
Medium 15 Hierarchy Level 
Long 20 Hierarchy Level 
Heading 15 Hierarchy Level 
Documentation

Definition

Use

For each claim item grouping category you can define a hierarchy level ranging from 1 to 8, where 1 means the highest hierarchy level and 8 means the lowest hierarchy level.

The system then uses the claim item grouping category with the highest hierarchy level (see "Example# below) to perform the compensation calculation (and to set reserves as well).

If a subclaim has several claim item grouping categories with the same hierarchy level, the system performs the compensation calculation with all claim item grouping categories that have the highest hierarchy level (see "Example" below).

The hierarchy levels for the claim item grouping categories delivered by SAP are predefined and as follows:

  • Hierarchy level 1:
    • Generated reimbursement
    • Reimbursement
    • Payment proposal
  • Hierarchy level 2:
    • Invoice
    • Per diem sickness benefit
    • Per diem hospital benefit
    • Invalidity
    • Injury
    • Accidental death
  • Hierarchy level 3:
    • Benefit decision/order
  • Hierarchy level 4:
    • Cost estimate
  • Hierarchy level 5:
    • Appraisal receipt
  • Hierarchy level 6:
    • Appraisal order
  • Hierarchy level 7:
    • Prescription
  • Hierarchy level 8:
    • Request

Dependencies

Example

Example for consideration of claim item grouping categories with different hierarchy levels:

A subclaim contains a prescription (hierarchy level 7) and an invoice (hierarchy level 2). The system then always performs the compensation calculation with the invoice, because the invoice has a higher hierarchy level than the prescription.

Example for consideration of claim item grouping categories with the same hierarchy levels:

A subclaim contains a prescription, an invoice, and an invalidity (hierarchy level 2). The system then always performs the compensation calculation with the invoice and the invalidity, because the invoice and the invalidity both have the highest hierarchy level in this subclaim. The prescription is not considered in the compensation calculation.

History
Last changed by/on SAP  20091125 
SAP Release Created in