SAP ABAP Table RPCLM_LIM_FRM (Structure for claim formula)
Hierarchy
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SAP_HRRXX (Software Component) Sub component SAP_HRRXX of SAP_HR
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PA-BN-CL (Application Component) Claims Processing (Asia)
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PCLM (Package) Claims processing :Asia
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Basic Data
| Table Category | INTTAB | Structure |
| Structure | RPCLM_LIM_FRM |
|
| Short Description | Structure for claim formula |
Delivery and Maintenance
| Pool/cluster | ||
| Delivery Class | ||
| Data Browser/Table View Maintenance | Display/Maintenance Allowed with Restrictions |
Components
| |
Field | Key | Data Element | Domain | Data Type |
Length | Decimal Places |
Short Description | Check table |
|---|---|---|---|---|---|---|---|---|---|
| 1 | |
BEN_PLAN | BEN_PLAN | CHAR | 4 | 0 | Benefit plan | * | |
| 2 | |
BEN_LEVEL1 | BEN_LEVEL1 | CHAR | 4 | 0 | Benefit miscellaneous plan option | * | |
| 3 | |
ENDDA | DATUM | DATS | 8 | 0 | End Date | ||
| 4 | |
BEGDA | DATUM | DATS | 8 | 0 | Start Date | ||
| 5 | |
CLM_AMOUT | PRBETRG | CURR | 15 | 2 | Claim Limit Amount | ||
| 6 | |
CLM_NUMCL | DEC3 | DEC | 3 | 0 | Number of claims | ||
| 7 | |
CLM_CLMAX | PRBETRG | CURR | 15 | 2 | Maximum amount per claim | ||
| 8 | |
CLM_DCLMX | PRBETRG | CURR | 15 | 2 | Maximum amount per claim for dependents | ||
| 9 | |
CLM_NOUNITS | DEC3 | DEC | 3 | 0 | No. of units | ||
| 10 | |
CLM_UNITS | PERMO | NUMC | 2 | 0 | Claims units for no. of claims | * | |
| 11 | |
CLM_NDAYS | NUMC4 | NUMC | 4 | 0 | Duration in no. of days | ||
| 12 | |
CLM_MXAMT | PRBETRG | CURR | 15 | 2 | Maximum amount for each day | ||
| 13 | |
CLM_UNFLG | CHAR1 | CHAR | 1 | 0 | Claim limit is applicable for all (Employee and Family) | ||
| 14 | |
CLM_OVRCL | CLM_OVRCL | CHAR | 1 | 0 | Overclaim Proccessing | ||
| 15 | |
CLM_CPPER | DEC3_2 | DEC | 5 | 2 | Co-payment percentage | ||
| 16 | |
CLM_CPAMT | PRBETRG | CURR | 15 | 2 | Co-payment amount | ||
| 17 | |
CLM_CPPRL | CLM_PRRUL | CHAR | 1 | 0 | Processing rule for co-pay amount and percentage for EE | ||
| 18 | |
CLM_CPDEP | DEC3_2 | DEC | 5 | 2 | Co-payment percentage for family(dependents) | ||
| 19 | |
CLM_CADEP | PRBETRG | CURR | 15 | 2 | Co-payment amount for family(dependents) | ||
| 20 | |
CLM_CDPRL | CLM_PRRUL | CHAR | 1 | 0 | Processing rule for co-pay amount and percentage for family | ||
| 21 | |
CLM_USBYM | BEN_MONTH | NUMC | 2 | 0 | Claims cutoff month for processing last year claims | ||
| 22 | |
CLM_USBYD | BEN_DAY | NUMC | 2 | 0 | Claims cutoff day for processing last year claims | ||
| 23 | |
CLM_CLDCV | CLM_CLDCV | CHAR | 4 | 0 | Dependent Coverage for Claims | ||
| 24 | |
CLM_ELPER | DEC3_2 | DEC | 5 | 2 | Dependent eligibility percentage | ||
| 25 | |
CLM_DPAMT | PRBETRG | CURR | 15 | 2 | Claim limit amount for dependents | ||
| 26 | |
CLM_ELGTY | CLM_ELGTY | CHAR | 1 | 0 | Dependent eligibility type | ||
| 27 | |
CLM_PRORT | CLM_PRORT | CHAR | 1 | 0 | Proration option for claim amount |
History
| Last changed by/on | SAP | 19990412 |
| SAP Release Created in |