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 Use of Differences Log

Use

You can use a differences login the following claim item groupings :

  • Single invoice ( invoice entry and payment proposal (invoice processing) )

  • Benefit decision

  • Reimbursement

  • Accident expenses (in accident insurance)

    Note 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: Start of the navigation path Claims Management Next navigation step Claim Next navigation step Technical Settings Next navigation step Screen Modifications Next navigation step Configure Screens End of the navigation path ). You can use the screens for benefit decision (ICLC28) and invoice processing (ICLH27) as templates.

    End of the note.

  • 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.

Integration

  • 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.

Prerequisites

  • 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: Start of the navigation path Claims Management Next navigation step Claim Next navigation step Business Settings Next navigation step Correspondence Next navigation step SAPscript Sample Text Modules Next navigation step Create SAPscript Sample Text Modules End of the navigation 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.

Features

  • 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:

      1. Select the stored text module.

      2. 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.

Special Features of the Differences Log in the Collective Invoice

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.

Differences Log in the Benefit Decision

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.