General Settings for Accident Event
Make the following settings in the SAP Customizing Implementation Guide
(IMG) under :
In Customizing activity Define Claim Bundle Types
, create at least one claim bundle type in the category of Accident Event
.
In Customizing activity Define Subtypes for Each Claim Bundle Type
, create the following subtypes for the claim bundle type in the category of Accident Event
:
Accident Questionnaire
Accident with Subrogation/Recovery
Settings for Dummy Claim
To be able to use accident events, you need an internal claim type for a dummy claim.
Proceed as follows:
Create an internal claim type with just one subclaim type (path:
).Note
A dummy claim is only needed in the background, it does not appear on the user interface. Consequently, there is no need for any Customizing that affects the user interface (such as definition of screen sequences).
Assign this internal claim type to the two claim bundle subtypes Accident Questionnaire
and Accident with Subrogation/Recovery
(path: ).
Rules for Existence of Accident Indicators
You can use BRFplus rules to check whether there are any indications of an accident.
The following BRFplus functions can be used:
ICL_DIAG01_FV (Create Diagnosis) and ICL_DIAG02_FV (Change Diagnosis)
For both of these events you can define rules that check whether a diagnosis has the additional attribute "Suspected Accident".
The SAP delivery Customizing contains action ICL_0AQ1_A for this purpose.
Note
The additional attributes for diagnoses are defined in Customizing under
and .Action ICL_0AQ1_A is of the action type Task or Log Entry
.
The associated task in Activity Management also has the key 0AQ1 (Task Text: 'Perform Search for Accident Questionnaires Already Sent'). Tasks are defined in Customizing under
.ICL_IG002_FV (Change Claim Item Grouping)
For this function you can define rules that check whether an entry exists on a prescription in the Accident Indicator
field.
Cover Letter with Accident Questionnaire
To be able to send an accident questionnaire, you must have defined the document entitled "Request Accident Questionnaire" with the application form ICLE_ACC_REQUEST. You must define this document as a permitted manual document in the internal claim type of the dummy claim (see above, "Settings for Dummy Claim").
Note
The claim documents are defined in Customizing under
.SFC Question Sequence for Accident Questionnaire
If you do not have the accident questionnaire in electronic form, you must enter the answers on the accident questionnaire manually in the system using a structured facts capture (SFC) question sequence.
If you want to use the SFC question sequence, you must perform the following Customizing activities:
In Customizing activity Configure Structured Facts Capture
, create a corresponding standard question group mapping all questions in the accident questionnaire.
The SAP delivery Customizing contains question sequence AQ1 (accident questionnaire) for this purpose.
In Customizing activity Configure Internal Claim Types
, assign this question sequence to the internal claim type of the dummy claim.
This assignment is made at the level of
, depending on facts capture category AQ (accident questionnaire).