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Title
IS-H: Cascade Bill Processing Purpose
The report IS-H: Cascade Bill Processing (RNA_CASCADE_BILLING)modifies insurance provider contract schemes to support a method ofinvoicing known as cascade billing. Given a case number, the reportindividualizes the contract scheme of a single insurance relationshipwith a user-supplied amount, which is stored as the maximum paymentamount in the contract scheme. The report then cancels and recreatesthe invoice to reflect this change.
Cascade billing is relevant for billing environments where theliability of each insurance provider cannot be determined until paymentis received.
The workflow of this program within a larger billing process is asfollows:
You discharge a case with two or more insurance relationships andgenerate the invoice.
You sent the invoice (for the entire amount of the bill) to theinsurance provider with the highest priority.
When payment is received, you record the amount in FI via an incomingpayment processing transaction such as F-28.
You now run the Cascade Billing Program with reference to the open IS-Hinvoice item, or by explicitly specifying the case number, customernumber, amount and other parameters of the incoming payment (seeActivities below).
Cascade Billing cancels the open invoice item, creates anindividualized contract scheme for the payer in question (correspondingexactly to the payment amount), and regenerates the invoice.
The resulting logical invoice now has two open items: an invoice forthe first payer, revised to reflect the actual amount of paymentreceived; and an invoice for the second payer, which contains allremaining charges.
You can repeat steps 2 through 6 for every insurance relationship.Prerequisites
This program requires that contract schemes and invoice cancellationreasons have been configured for cascade bill processing in Customizingfor IS-H.
Note
- When defining contract schemes, ensure that the scheme currency is the
same as the currency defined in the master data of the insuranceproviders that will use it.
- Set the scheme case type restriction to allow any case types that might
be used with cascade billing.
- When defining new cancellation reasons for cascade billing, check the
I column to make the reason valid for invoices.
You'll find more information about this in the IS-H ImplementationGuide under SG,CH, CA: MaintainContract Schemes and Define Reasons forCancellation.Features Selection
The following selection criteria are available to you on the selectionscreen of the report (all fields with the exception of CancellationReason) are required entry fields:
- Institution: IS-H institution code.
- Case: The number of the case for which you wish to carry out
cascade bill processing.
- Customer: The customer number of the insurance provider from
which payment has been received. The value help contains a list of allinsurance relationships (sorted in priority order) for the specifiedcase.
- Contract Scheme: The name of a contract scheme that will
associate a payment amount with the insurance provider.
- Max. Amount/Case: The payment amount to record with the
individualized insurance relationship. This corresponds to the amountof payment received from the payer specified in the Customerfield, and the value of the revised invoice.
- Currency: The payment currency.
- Billing Date: The date of the payment.
- Cancellation Reason: The reason for invoice cancellation.
A reason for cancellation is not strictly required. SAP recommends,however, that you make an entry here in order that the differencebetween cascade billing cancellations and "regular" cancellations canbe easily determined.
- Group box Runtime Options
Print Invoice: If you select this option, the report prints thenew invoice automatically after rebilling.
Suppress Dialogs: By selecting this option you suppress invoicecancellation dialogs.
- Clear: By clicking on this button you clear all selection fields
and restart the report.
- Find: Use this option to load the report parameters
automatically from an FI document.Output
Messages will display showing the status of the update and any billingerrors that may have occurred. In the case of a successful run, thesystem displays the new payment distribution log.
Note: If you do not wish to view the payment distribution screenat the end of the run, clear the user parameter PDR.
Special Cases
- It's possible that an existing invoice can be canceled without a new
invoice being generated, if there are errors in the case that preventthe creation of a new invoice. Be advised that under thesecircumstances, if the Suppress Dialogs option has been enabled,it may not be obvious that an invoice was canceled.
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