Data Element list used by SAP ABAP Table RPCLM_LIM_FRM (Structure for claim formula)
SAP ABAP Table
RPCLM_LIM_FRM (Structure for claim formula) is using
| # | Object Type | Object Name | Object Description | Note |
|---|---|---|---|---|
| 1 | BEGDA | Start Date | ||
| 2 | BEN_LEVEL1 | Benefit miscellaneous plan option | ||
| 3 | BEN_PLAN | Benefit plan | ||
| 4 | CLM_AMOUT | Claim Limit Amount | ||
| 5 | CLM_CADEP | Co-payment amount for family(dependents) | ||
| 6 | CLM_CDPRL | Processing rule for co-pay amount and percentage for family | ||
| 7 | CLM_CLDCV | Dependent Coverage for Claims | ||
| 8 | CLM_CLMAX | Maximum amount per claim | ||
| 9 | CLM_CPAMT | Co-payment amount | ||
| 10 | CLM_CPDEP | Co-payment percentage for family(dependents) | ||
| 11 | CLM_CPPER | Co-payment percentage | ||
| 12 | CLM_CPPRL | Processing rule for co-pay amount and percentage for EE | ||
| 13 | CLM_DCLMX | Maximum amount per claim for dependents | ||
| 14 | CLM_DPAMT | Claim limit amount for dependents | ||
| 15 | CLM_ELGTY | Dependent eligibility type | ||
| 16 | CLM_ELPER | Dependent eligibility percentage | ||
| 17 | CLM_MXAMT | Maximum amount for each day | ||
| 18 | CLM_NDAYS | Duration in no. of days | ||
| 19 | CLM_NOUNITS | No. of units | ||
| 20 | CLM_NUMCL | Number of claims | ||
| 21 | CLM_OVRCL | Overclaim Proccessing | ||
| 22 | CLM_PRORT | Proration option for claim amount | ||
| 23 | CLM_UNFLG | Claim limit is applicable for all (Employee and Family) | ||
| 24 | CLM_UNITS | Claims units for no. of claims | ||
| 25 | CLM_USBYD | Claims cutoff day for processing last year claims | ||
| 26 | CLM_USBYM | Claims cutoff month for processing last year claims | ||
| 27 | ENDDA | End Date |