| MANDT |
✔ |
Client |
MANDT |
CLNT |
3 |
T000 |
| BAREA |
✔ |
Benefit area |
BEN_AREA |
CHAR |
2 |
T5UB3 |
| BPLAN |
✔ |
Benefit plan |
BEN_PLAN |
CHAR |
4 |
T5UBA |
| CLMFM |
✔ |
Claim variant for Plan |
CLM_CLMFM |
CHAR |
4 |
T7XAS6 |
| SALGR |
✔ |
Benefit salary group |
BEN_SALGR |
CHAR |
4 |
T5UBK |
| AGEGR |
✔ |
Benefit age group |
BEN_AGEGR |
CHAR |
4 |
T5UBL |
| LOSGR |
✔ |
Benefit seniority group |
BEN_LOSGR |
CHAR |
4 |
T5UBM |
| CLMGR |
✔ |
Claim grouping for plan |
CLM_CLMGR |
CHAR |
4 |
T7XASI |
| GENDR |
✔ |
Gender data for calculating claims limit |
CLM_GENDER |
CHAR |
1 |
|
| ENDDA |
✔ |
End Date |
ENDDA |
DATS |
8 |
|
| BEGDA |
|
Start Date |
BEGDA |
DATS |
8 |
|
| AMOUT |
|
Claim Limit Amount |
CLM_AMOUT |
CURR |
15 |
|
| PRCNT |
|
Claim limit expressed as a percentage |
CLM_PRCNT |
DEC |
5 |
|
| APPRL |
|
Processing rule for claim limit amount and percentage |
CLM_APPRL |
CHAR |
1 |
|
| NUMCL |
|
Number of claims |
CLM_NUMCL |
DEC |
3 |
|
| CLMAX |
|
Maximum amount per claim |
CLM_CLMAX |
CURR |
15 |
|
| DCLMX |
|
Maximum amount per claim for dependents |
CLM_DCLMX |
CURR |
15 |
|
| MXPER |
|
Claim limit expressed as a percentage |
CLM_PRCNT |
DEC |
5 |
|
| PRRUL |
|
Processing rule for amout and percentage |
CLM_PRRUL |
CHAR |
1 |
|
| CLMNO |
|
No. of units |
CLM_NOUNITS |
DEC |
3 |
|
| CLMUN |
|
Claims units for no. of claims |
CLM_UNITS |
NUMC |
2 |
T549R |
| UNFLG |
|
Claim limit is applicable for all (Employee and Family) |
CLM_UNFLG |
CHAR |
1 |
|
| NDAYS |
|
Duration in no. of days |
CLM_NDAYS |
NUMC |
4 |
|
| MXAMT |
|
Maximum amount for each day |
CLM_MXAMT |
CURR |
15 |
|
| CPPER |
|
Co-payment percentage |
CLM_CPPER |
DEC |
5 |
|
| CPAMT |
|
Co-payment amount |
CLM_CPAMT |
CURR |
15 |
|
| CPPRL |
|
Processing rule for co-pay amount and percentage for EE |
CLM_CPPRL |
CHAR |
1 |
|
| CPDEP |
|
Co-payment percentage for family(dependents) |
CLM_CPDEP |
DEC |
5 |
|
| CADEP |
|
Co-payment amount for family(dependents) |
CLM_CADEP |
CURR |
15 |
|
| CDPRL |
|
Processing rule for co-pay amount and percentage for family |
CLM_CDPRL |
CHAR |
1 |
|
| WRDTY |
|
Claims ward type |
CLM_WRDTY |
CHAR |
4 |
|
| ELPER |
|
Dependent eligibility percentage |
CLM_ELPER |
DEC |
5 |
|
| DPAMT |
|
Claim limit amount for dependents |
CLM_DPAMT |
CURR |
15 |
|
| ELGTY |
|
Dependent eligibility type |
CLM_ELGTY |
CHAR |
1 |
|
| CLDCV |
|
Dependent Coverage for Claims |
CLM_CLDCV |
CHAR |
4 |
T7XASA |