| CLIENT |
X |
MANDT |
CLNT |
0 |
3 |
0 |
T000 |
Client |
| CLTYPE |
X |
ICL_CLTYPE |
CHAR |
3 |
4 |
0 |
TICL011 |
Internal Claim Type |
| GENERAT |
X |
ICL_CLTYPEG |
NUMC |
7 |
5 |
0 |
TICL011 |
Generation of Internal Claim Type |
| VERSION |
X |
ICL_CLTYPEV |
NUMC |
12 |
5 |
0 |
|
Internal Claim Type Version |
| SUBCLTYPE |
X |
ICL_SUBCLTYPE |
CHAR |
17 |
4 |
0 |
|
Subclaim Type |
| BENTYPE |
X |
ICL_BENTYPE |
CHAR |
21 |
10 |
0 |
TICL055 |
Benefit Type |
| COUNTRY |
X |
ICL_COUNTRYL |
CHAR |
31 |
3 |
0 |
T005 |
Country in Which Limit Applies |
| REGION |
X |
ICL_REGIONL |
CHAR |
34 |
3 |
0 |
T005S |
Region in Which Limit is Valid |
| PRIORITY |
X |
ICL_PRIORITY1 |
NUMC |
37 |
2 |
0 |
|
Priority for Application of Limits and Deductibles |
| UNOPCOV |
|
ICL_UNOPCOVTP |
CHAR |
39 |
10 |
0 |
TICL322 |
Coverage Type as Filter for Application of Limits/Deductible |
| CMC_RULE |
|
ICL_CMC_RULE1 |
CHAR |
49 |
20 |
0 |
TBRF150 |
BRF Expression for Application of Limits or Deductible |
| LIMIT |
|
ICL_POLB02 |
CURR |
69 |
15 |
2 |
|
Limit |
| LIMAMT |
|
ICL_LIMAMT |
QUAN |
77 |
10 |
3 |
|
Quantity Limit |
| DEDUCTIBLE |
|
ICL_POLB03 |
CURR |
83 |
15 |
2 |
|
Deductible |
| DEDUCTPERC |
|
ICL_DEDUCTPERC |
DEC |
91 |
5 |
2 |
|
Deductible in Percent |
| RBENTYPE |
|
ICL_BENTYPE1 |
CHAR |
94 |
10 |
0 |
TICL055 |
Benefit Type of Reference Limit/Deductible in Contract |
| COVTYPE |
|
ICL_COVTYPE1 |
CHAR |
104 |
10 |
0 |
TICL322 |
Coverage Type of Reference Limit in Contract |
| PERCENT |
|
ICL_REFLIMITP |
DEC |
114 |
5 |
2 |
|
Percentage of Reference Limit/Reference Deductible |
| LIMDEDRULE |
|
ICL_LIMDEDRULE |
CHAR |
117 |
1 |
0 |
|
Product Rule for Determining Limits and Deductibles |
| LEGALRULE |
|
ICL_LEGALRULE |
CHAR |
118 |
1 |
0 |
|
Regional Rule for Determining Limits and Deductibles |
| REJREASON |
|
ICL_REJREASON2 |
CHAR |
119 |
2 |
0 |
TICL022 |
Automatically Set Claim Item Rejection Reason |
| REIMB_DEDUC_RULE |
|
ICL_DED_RULE |
CHAR |
121 |
1 |
0 |
|
Rule for Determining Deductible to be Reimbursed |