You can use a differences login the following claim item groupings :
Single invoice ( invoice entry and payment proposal (invoice processing) )
Accident expenses (in accident insurance)
Note
If you want to use the differences log for another claim item grouping, you must create a new screen for the differences log in customizing (IMG path:
). You can use the screens for benefit decision (ICLC28) and invoice processing (ICLH27) as templates.The differences log is also available with collective invoices .
The differences log is based on claim item groupings that have already been created in a claim. There is a claim item grouping (such as invoice entry ) that contains the benefits requested, and a claim item grouping (such as payment proposal ) that contains the actual benefits.
In the differences log you can compare the benefits requested and the benefits provided. Where there are variances, you can use a user-defined text to explain the reason for the difference. Text modules are used for these user-defined texts.
Form class ICL_DIFFLOG for claim level
Form class ICL_DIFFLOG is available for usage of the differences log at claim level.
On a claim-related basis, this form class provides the claim item groupings of
Benefit Decision
and
Invoice Entry/Invoice Processing
with their claim items and the assigned text modules.
Form class ICLE_BUNDLE for claim bundle level
Form class ICLE_BUNDLE is available for usage of the differences log at claim bundle level (for the collective invoice).
On a cross-claim basis, this form class provides the claim item groupings of
Invoice Entry/Invoice Processing
with their claim items and the assigned text modules.
Based on these form classes you can create your own application forms, such as a settlement letter, in which you can use the differences log. Application forms ICL_SETTLEDINV and ICLE_SETTLED are delivered as examples, and you can use them as templates for your own forms.
In the Claims Management system, the print workbench is used to print correspondence. You therefore have to create a print workbench application form. This application form is then based on form class ICL_DIFFLOG.
Customizing
You have executed the necessary IMG activities in customizing of
Claims Management
.
Read the documentation for IMG activity
Create SAPscript Sample Text Modules
(IMG path:
).
Claims processing
In claims processing it does not make sense to create a differences log until processing of the claim item grouping is at a stage where the actual benefits as well as the requested benefits are available.
Create differences log
When you create a differences log for a claim item grouping, on the
Differences Log
screen choose one after another the items of the claim item grouping for which you want to store a text explaining the difference between the requested benefit and the actual benefit.
You use text modules to give these reasons. First choose a category. Then you can select a text module that is assigned to this category in Customizing.
Reject an item and give a reason text
You can reject an item, in other words delete it completely, and at the same time store a text stating the reason.
You can find further information in the documentation for data element
Reject
+
Text
(ICLH_XDEDUCT) on the
Differences Log
screen.
Store a text without rejecting the item
You can store a reason text for an item without rejecting the item, in other words deleting it completely.
If the item has been reduced, the text gives the reason for this reduction.
If the item has been approved, the stored text is a note text.
You can find further information in the documentation for data element
Only Text
(ICLH_XTEXT) on the
Differences Log
screen.
Undo assignment of a text
You can undo the assignment of an individual text module to an item.
To do so, proceed as follows:
Select the stored text module.
Choose
with the quick info text
Delet
e User-Defined Text.
You can undo all assignments of text modules to an item simultaneously.
You can find further information in the documentation for data element
Undo
(ICLH_XUNDO) on the
Differences Log
screen.
Reject an invoice in the invoice header
You can reject an invoice directly in the invoice header. The system always derives the individual invoice items from the header. As soon as you have rejected the invoice in the invoice header, or given a reason for this, all items are automatically rejected or given a reason.
Display of tasks
The List of Pending Tasks displays all tasks based on the differences log.
Use of special category
On the
Differences Log
screen you can view all uncompleted (pending) tasks that refer to a single invoice. To do so, select the
Invoice Header
line and then
Special Category
in the
Category
field.
In the F4 help for the sample text module the system then displays all sample text modules that are linked with these uncompleted tasks. In addition to the short description of the sample text module, the system also displays the associated task in the F4 help.
When you select one of these sample text modules, the
Task
section only contains the tasks that can be completed with the selected sample text module. The system also marks the items in the item list that you can then reject directly.
Differences overview
On the
Differences Overview
tab page the system displays a list of all items that have text modules assigned to them. In addition to the text module, data on the associated item is displayed, such as name of item, item number, valid from, valid to, and difference amount.
To view the contents of a text module, click on the short text of the text module.
The text modules are always the starting point of the differences overview, and then associated item data is determined. The overview only contains data if text modules exist.
Reference to text module in invoice header
It is possible to only store a text module physically with the header of the invoice. With all other selected items, a reference to the text module of the header is stored. The following applies:
You can only change the text contents of the reference module in the invoice header.
If an item has a reference module, this is displayed as a hotspotin the text module list for an item. If you click on the hotspot, the text contents are displayed
If you delete the reference module in the invoice header, the references are also deleted from all items.
If you delete an item module that references a text module of the header, the reference module of the header remains unaffected.
The differences log of the collective invoice comprises the differences logs of the single invoices.
The following functions are also available with the differences log in the collective invoice:
The
Differences Overview
tab page displays all single invoices of the collective invoice in a list. For each single invoice there is another list, displayed below the single invoices, showing the items to which text modules are assigned.
On the
Differences Processing
tab page you can assign text modules to the collective invoice (in other words, to the header of the collective invoice).
You can also enter texts for the differences log as part of serial error processing on the collective invoice. The system then forwards the texts to the relevant items of the single invoice.
The following functions are available with the differences log in the benefit decision:
All the same functions as the differences log in the single invoice (see above).
If you reject a benefit decision, you can use text modules to store the rejection reasons directly in the benefit decision on the dialog screen that follows. As with invoices, you can use sample text modules from different categories to create the texts.