Hierarchy
INSURANCE (Software Component) SAP Insurance⤷
FS-CM (Application Component) Claims Management⤷
ICL_CDC (Package) FS-CM: Data Capture
Basic Data
| Data Element | ICL_ITEM_SUM_D |
| Short Description | Total of Additional Claim Items |
Data Type
| Category of Dictionary Type | D | Domain |
| Type of Object Referenced | No Information | |
| Domain / Name of Reference Type | XFELD | |
| Data Type | CHAR | Character String |
| Length | 1 | |
| Decimal Places | 0 | |
| Output Length | 1 | |
| 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 | Total |
| Medium | 15 | Total |
| Long | 20 | Total |
| Heading | 0 |
Documentation
Definition
Controls whether additionally created claim items are considered if the original amount of the invoice is viewed against the result of claims handling in the differences log.
Use
Dependencies
- Differences are only displayed for the payment proposal in invoice processing.
- The payment proposal item is only considered in the display of the difference if the Additional Claim Item indicator is set.
Example
In processing of invoices, the invoice created in invoice entry is used as the payment proposal. You can then edit the payment proposal and the individual items of the payment proposal. You might have reason to split an invoice item into multiple payment proposal items.
Example 1: Summary settlement or entry of multiple treatment within a period.
In the period spanned by a claim, the benefit regulations might change, for example because of a tariff change or legal changes. To enable you to map this, you can create one or multiple new payment proposal items from a payment proposal item. These new items refer to the same invoice item as the original payment proposal item.
In this example, all payment proposal items that have arisen from the original invoice item form the basis for the comparison. For this reason, the indicator is set.
Example 2: Settlement of additional items
A physician can submit an invoice with one item for his services. Due to contractual agreements, additional items can also be part of the settlement, without the physician having to specify this explicitly on the invoice. In the payment proposal, the original invoice item is enhanced to include one or more additional items.
In this example, the amount of the additionally created payment proposal items is not dependent on the invoice item. For this reason, the indicator is not set.
History
| Last changed by/on | SAP | 20060208 |
| SAP Release Created in | 600 |
