TICL163

Benefit Type Tree: Limit and Deductible | #other | Component: Claims Management
Column Name Description
CLIENT FK Client
BENTREE FK Benefit Type Tree
GENERAT FK Generation of Benefit Type Tree
VERSION FK Version of Benefit Type Tree
BENTYPE FK Benefit Type
COUNTRY FK Country/Region for Limit
REGION FK Region in Which Limit is Valid
PRIORITY Priority for Application of Limits and Deductibles
Column Name Description
💲 Currency for All Amount Fields of Benefit Type Tree (TICL161.CURR):
LIMIT Limit
DEDUCTIBLE Deductible
GRPDEDLIM Maximum Total Deductible per Grouping
Column Name Description
📏 Unit of Measure of Limit (TICL162.LIMUNIT):
LIMAMT Quantity Limit
📏 Unit of Measurement of Deductible (TICL162.DEDUCTUNIT):
DEDUCTAMT Deductible on Quantities (e.g.Days, Meters)
Column Name Description
Column Name Description
LIMDEDRULE Product Rule for Determining Limits and Deductibles Show values
LEGALRULE Regional Rule for Determining Limits and Deductibles Show values
REIMB_DEDUC_RULE Rule for Determining Deductible to be Reimbursed Show values
DEDPERCRULE Combination Rule of Percent and Fixed Deductible Show values
Column Name Description Domain name
DEDUCTPERC Deductible in Percent ICL_PERCENT
PERCENT Percentage of Reference Limit/Reference Deductible ICL_PERCENT
MINREFPERCENT Minimum Percent of Reference Limit ICL_PERCENT
WAITINGPRD Waiting Period NUMC4
RETROPRD Retroactive Period NUMC4
FORMULA_ID Formula ID SYSUUID_C
Master Data Relations Join Conditions
Benefit Type Tree
  • Benefit Type Tree
  • Generation of Benefit Type Tree
Client TICL163.CLIENT == T000.MANDT
BRFplus Expression for Application of Limits or Deductibles
  • ?
  • BRFplus Expression for Application of Limits or Deductibles
  • ?
  • Client
  • ?
  • TICL163.[column in domain "BRF_APPLCLASS"] == TBRF150.APPLCLASS
  • TICL163.CMC_RULE == TBRF150.EXPRESSION
  • TICL163.[column in domain "BRF_EXPRESSION_VERSION"] == TBRF150.VERSION
  • TICL163.CLIENT == TBRF150.CLIENT
  • TICL163.[column in domain "BRF_IMPORT_STATUS"] == TBRF150.IMPORT_STATUS
Country/Region for Limit
  • Country/Region for Limit
  • Client
  • TICL163.COUNTRY == T005.LAND1
  • TICL163.CLIENT == T005.MANDT
Coverage Type of Reference Limit in Contract
Generation of Benefit Type Tree
  • Benefit Type Tree
  • Generation of Benefit Type Tree
Benefit Type of Reference Limit/Deductible in Contract
Region in Which Limit is Valid
  • Country/Region for Limit
  • Region in Which Limit is Valid
  • TICL163.CLIENT == T005S.MANDT
  • TICL163.COUNTRY == T005S.LAND1
  • TICL163.REGION == T005S.BLAND
Automatically Set Claim Item Rejection Reason
  • TICL163.CLIENT == TICL022.CLIENT
  • TICL163.REJREASON == TICL022.REJREASON
Coverage Type as Filter for Application of Limits/Deductible
Version of Benefit Type Tree
  • Benefit Type Tree
  • Version of Benefit Type Tree
  • Generation of Benefit Type Tree
Other Relations | to Master Data Relations ↑ Join Conditions
Benefit Type
  • Generation of Benefit Type Tree
  • Benefit Type Tree
  • Version of Benefit Type Tree
  • Benefit Type
  • Client