When processing claim bundles, you can use the functions of role-based performer to assign performers. The function “role-based performer in claim bundle” is almost the same as the function “role-based performer in claim”. The documentation Role-Based Performer (RBP), including its sub-sections, is therefore also valid for role-based performer in the claim bundle, but with the restrictions mentioned below.
The function “role-based performer in claim bundle” has the following restrictions compared with the function “role-based performer in claim”:
With automatic performer assignment, only late assignment is possible in the claim bundle. Early assignment is not supported. For more information, see Automatic Performer Assignment.
A mass change of performer assignment is not supported in the claim bundle. For more information, see Mass Change of Performer Assignment.
If you change performer data in the claim bundle, this changed data is not replicated to the claims that belong to the claim bundle.
Changes to performer assignment in direct input are not supported.
In the claim search (transaction ICLEXPERT
), you can use certain data of role-based performer as search criteria (such as the role of the performer). This is not possible in the claim bundle search (transaction ICLEEXPERT
).
Caution
SAP only provides a sample implementation for claim bundles in the category of Multiple Contract Handling. If you want to use role-based performer for other claim bundle categories, then you will have to enhance your coding accordingly.
You have activated the Business Function INS_FSCM_MULT_CONTR_1
(Insurance Claim Multiple Contract Handling).
You have performed the Customizing activities under
.In particular, take note of the documentation for Customizing activity Use Role-Based Performer in Claim Bundle
.
You have made the required Customizing settings for the dummy claim.
You have included screen ICLRP1
in your screen sequence.
In claim bundle processing, the following functions are available on the Performer Overview
tab page:
You can assign a performer in a certain performer role to the claim bundle and also change the assignment.
If the Mandatory
checkbox is selected for a performer role, you must enter a performer for this role.
Note
In Customizing activity Configure Role Profiles
(Customizing path - see “Prerequisites” above), you define at the level of RBP: Assignment Role -> Profile
for each performer role whether entry of a performer is mandatory.
You can also view a history of the performer assignments made to date in the claim bundle. The documentation Display of Assignment History for the claim is also valid for the claim bundle.
You can view a history of all performers assigned to the claim bundle to date. The documentation Display of Performer History for the claim is also valid for the claim bundle.