| CLIENT |
X |
MANDT |
CLNT |
0 |
3 |
0 |
T000 |
Client |
| BENTREE |
X |
ICL_BENTREE |
CHAR |
3 |
8 |
0 |
TICL160 |
Benefit Type Tree |
| GENERAT |
X |
ICL_BENTREEG |
NUMC |
11 |
5 |
0 |
|
Generation of Benefit Type Tree |
| VERSION |
X |
ICL_BENTREEV |
NUMC |
16 |
5 |
0 |
|
Version of Benefit Type Tree |
| 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 |
| DEDUCTAMT |
|
ICL_DEDAMT |
QUAN |
91 |
10 |
3 |
|
Deductible on Quantities (e.g.Days, Meters) |
| DEDUCTPERC |
|
ICL_DEDUCTPERC |
DEC |
97 |
5 |
2 |
|
Deductible in Percent |
| RBENTYPE |
|
ICL_BENTYPE1 |
CHAR |
100 |
10 |
0 |
TICL055 |
Benefit Type of Reference Limit/Deductible in Contract |
| COVTYPE |
|
ICL_COVTYPE1 |
CHAR |
110 |
10 |
0 |
TICL322 |
Coverage Type of Reference Limit in Contract |
| PERCENT |
|
ICL_REFLIMITP |
DEC |
120 |
5 |
2 |
|
Percentage of Reference Limit/Reference Deductible |
| LIMDEDRULE |
|
ICL_LIMDEDRULE |
CHAR |
123 |
1 |
0 |
|
Product Rule for Determining Limits and Deductibles |
| LEGALRULE |
|
ICL_LEGALRULE |
CHAR |
124 |
1 |
0 |
|
Regional Rule for Determining Limits and Deductibles |
| REJREASON |
|
ICL_REJREASON2 |
CHAR |
125 |
2 |
0 |
TICL022 |
Automatically Set Claim Item Rejection Reason |
| REIMB_DEDUC_RULE |
|
ICL_DED_RULE |
CHAR |
127 |
1 |
0 |
|
Rule for Determining Deductible to be Reimbursed |
| MINREFPERCENT |
|
ICL_REFPRCTMIN |
DEC |
128 |
5 |
2 |
|
Minimum Percent of Reference Limit |
| WAITINGPRD |
|
ICL_WAITINGPRD |
NUMC |
131 |
4 |
0 |
|
Waiting Period |
| RETROPRD |
|
ICL_RETROPRD |
NUMC |
135 |
4 |
0 |
|
Retroactive Period |
| FORMULA_ID |
|
SFBEID |
CHAR |
139 |
32 |
0 |
|
Formula ID |
| DEDPERCRULE |
|
ICL_DEDPERCRULE |
CHAR |
171 |
1 |
0 |
|
Combination Rule of Percent and Fixed Deductible |
| GRPDEDLIM |
|
ICL_GRPDEDLIM |
CURR |
172 |
15 |
2 |
|
Maximum Total Deductible per Grouping |