Hierarchy
⤷ FS-CM (Application Component) Claims Management
⤷ ICL_CDC (Package) FS-CM: Data Capture
Basic Data
Data Element | ICL_LIMDEDRULE |
Short Description | Product Rule for Determining Limits and Deductibles |
Data Type
Category of Dictionary Type | D | Domain |
Type of Object Referenced | No Information | |
Domain / Name of Reference Type | ICL_LIMDEDRULE | |
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 | 0 | |
Medium | 15 | Product Rule |
Long | 0 | |
Heading | 0 |
Documentation
Definition
Use
The determination rules regulate how the relevant limits and deductibles are determined:
- 0 contract, otherwise product
Like rule 1, but if there is an entry in the contract, this is used instead of the values defined in customizing for limits and deductibles.
- 1 product
The limit defined in customizing is always used, even if there is an entry in the contract.
- 2 maximum contract / product
The system determines the largest limit and the smallest deductible from the contract and product.
- 3 minimum contract / product
The system determines the smallest limit and the largest deductible from the contract and product.
- 4 contract + product
The system takes the total of the amounts in the contract and product.
Example
- Simple constellation:
Customizing: Rule 0 is the standard (contract, otherwise product). A limit of $ 10,000 is defined.
A claim is created.
- If no limit is specified in the contract, the limit of $ 10,000 is applied.
- If, for example, a limit of $ 20,000 is specified in the contract, this limit is applied.
- Complicated constellation:
Customizing: Two entries have been defined for this benefit type. The entry without extended coverage contains rule 1 (product) as well as a rejection reason.
In this case, no payment is possible without an extended coverage, regardless of whether a limit for this benefit type is specified in the contract.
Dependencies
The product rule is applied after the regional rule.
History
Last changed by/on | SAP | 20050224 |
SAP Release Created in | 463 |