Hierarchy
INSURANCE (Software Component) SAP Insurance⤷
FS-CM (Application Component) Claims Management⤷
ICL_HEALTH (Package) FS-CM: Health Line of Insurance
Basic Data
| Data Element | ICL_REMUN_TYPE_D_PE |
| Short Description | Remuneration Category |
Data Type
| Category of Dictionary Type | D | Domain |
| Type of Object Referenced | No Information | |
| Domain / Name of Reference Type | ICL_REMUN_TYPE_D_PE | |
| Data Type | CHAR | Character String |
| Length | 4 | |
| Decimal Places | 0 | |
| Output Length | 4 | |
| 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 | Remun.Cat. |
| Medium | 10 | Remun.Cat. |
| Long | 10 | Remun.Cat. |
| Heading | 10 | Remun.Cat. |
Documentation
Definition
Indicates the ID of the remuneration category.
Use
You can use the remuneration category to categorize a claim item. Such categories might be
- Main item
- Mark-up
- Mark-down
The remuneration category is used in an inpatient hospital claim to identify the items that come from the hospital.
Background:
In an inpatient hospital claim you can also create the payment proposal from the claim item grouping DRG. If you transfer items to the payment proposal in this way, they are not linked with items of the invoice.
By way of the remuneration category, the system can create such a link. In the payment proposal it links all items in the claim item groupings DRG and Invoice that have the same remuneration category. You can see the links in the differences log of the payment proposal. This differences log contains the invoice amounts and the DRG amounts of the items.
Dependencies
Example
You have created an invoice with two items:
- Item 1: Amount for USD 100 and remuneration category Main Item
- Item 2: Amount for USD 10 and remuneration category Mark-up
You have created a claim item grouping DRG and determined the following amounts there:
- Item 1: Amount for USD 90 and remuneration category Main Item
- Item 2: Amount for USD -5 and remuneration category Mark-down
If you now transfer the claim item grouping DRG to a payment proposal, the system links the main item of the claim item grouping DRG with the main item of the invoice. The system does not link the mark-up and the mark-down, since they have different remuneration categories.
History
| Last changed by/on | SAP | 20060711 |
| SAP Release Created in |
