Hierarchy
BBPCRM (Software Component) BBPCRM⤷
CRM (Application Component) Customer Relationship Management⤷
CRM_APPLICATION (Package) All CRM Components Without Special Structure Packages⤷
NBAS (Package) Appl. development Hospital System master data, catalogs
Basic Data
| Data Element | KH_KOSTR |
| Short Description | IS-H: Insurance Provider |
Data Type
| Category of Dictionary Type | D | Domain |
| Type of Object Referenced | No Information | |
| Domain / Name of Reference Type | RI_KUNNR | |
| Data Type | CHAR | Character String |
| Length | 10 | |
| Decimal Places | 0 | |
| Output Length | 10 | |
| Value Table | NGPA |
Further Characteristics
| Search Help: Name | ||
| Search Help: Parameters | ||
| Parameter ID | KOT | |
| Default Component name | INS_PROVIDER | |
| Change document | ||
| No Input History | ||
| Basic direction is set to LTR | ||
| No BIDI Filtering |
Field Label
| Length | Field Label | |
| Short | 10 | Ins.Prov. |
| Medium | 14 | Ins. Provider |
| Long | 20 | Insurance Provider |
| Heading | 10 | Ins.Prov. |
Documentation
Definition
Unique identification of an insurance provider (or of all functions of a business partner).
Examples of insurance providers are health insurance companies, workers' compensation associations and also authorities such as the social security office.
Supplementary Documentation - KH_KOSTR 0001
Use
The charge catalog determination can be carried out dependent on the insurance provider.
Procedure
- Enter a valid insurance provider in the field or
- mask the field by entering an asterisk ('*') in the 1st position or
- leave the field completely empty and mark the field 'SP' (rule for self-pay patients).
Examples
It is assumed that you have defined a rule for the insurance provider type 'AOK'. You now want to define an alternative rule for insurance provider '4711' who also has the insurance provider type 'AOK'. To specify this rule for just this insurance provider, enter '4711' in the Insurance provider field and enter a '*' in the Insurance provider type field.
Dependencies
- If you enter a value other than an asterisk, the entry is checked against the table of insurance providers.
- You cannot maintain insurance provider and insurance provider type at the same time.
- If you want to define a rule specifically for self-pay patients, mark the field 'SP' and leave the insurance provider empty (no asterisk!).
Please also refer to the access steps to the charge catalog determination rules.
Supplementary Documentation - KH_KOSTR 0002
Use
Billing type determination can be carried out in relation to the insurance provider.
Procedure
- Enter a valid insurance provider in the field or
- Mask the field by entering an asterisk ('*') in the 1st position or
- Leave the field completely empty (rule for self-payers).
Examples
It is assumed that you have defined a rule for the insurance provider type 'Public'. You now want to define an alternative rule for insurance provider '4711' who also has the insurance provider type 'Public'. To specify this rule for just this insurance provider, enter '4711' in the Insurance provider field and enter an '*' in the Insurance provider type field.
Dependencies
- If you enter a value other than an asterisk, the entry is checked against the table of insurance providers.
- You cannot maintain insurance provider and insurance provider type simultaneously.
- You enter rules for self-payer by leaving the Insurance provider field empty (no '*') and by entering '*' in the Insurance provider type field (these entries are made automatically when you select the self-payer indicator on the detail screen).
Please also refer to the access steps for the billing type determination rules.
Supplementary Documentation - KH_KOSTR 0003
Use
Case selection can be made in relation to one or more insurance providers.
Procedure
You can specify precisely one insurance provider or a range of insurance providers.
All cases will be selected which have an insurance relationship with the insurance provider specified.
Attention! It is not possible to exclude a particular or several insurance providers. The selection can only be carried out for one or more insurance providers.
Examples
Dependencies
If you specify exactly one insurance provider, the specified ID key is checked against the insurance provider table (Business partners -> insurance providers).
You cannot make a selection by specific insurance providers and self-payer portions simultaneously. Both specifications are mutually exclusive.
Supplementary Documentation - KH_KOSTR 0004
Use
The insurance provider key can also be used as a comparison field for the health care smart card.
Procedure
If you maintain Identification key ins.provider master f. HC smart card (Techn. Name = VCARDKEY) with the value '1' in Customizing for IS-H in Settings -> System Parameters -> Maintain Client-Specific, Time-Independent Parameters, the 10 figure insurance provider key is used as a comparison field for the health insurance company number on the health care smart card.
This means that the hc smart card can only be transferred if an insurance provider exists with a key with is the same as the health insurance company number on the hc smart card.
Examples
Dependencies
Supplementary Documentation - KH_KOSTR 0100
Use
The flat rate type is determined based on the insurance provider.
Procedure
- Enter a valid insurance provider in the field, or
- Enter an * in the 1st position or
- leave the field completely empty (the same as *)
Examples
You have defined a rule for the insurance provider type 'GKK'. You now want to define an alternative rule for the insurance provider '4711' which has the insurance provider type 'GKK'. To specify this rule for this insurance provider alone, enter '4711' in the insurance provider field and an '*' in the insurance provider type field.
Dependencies
- If you enter a value other than '*', the entry is checked against the table of insurance providers.
- You cannot maintain insurance provider and insurance provider type at the same time.
Please also refer to the Access steps for the billing type determination rules.
History
| Last changed by/on | SAP | 20050224 |
| SAP Release Created in |
