SAP Program RNZUZU00 - IS-H: Transfer Posting of Copayment to Insurance Provider

Description
This report allows you to transfer copayments from the customer accountof the patient to the corresponding customer account of the insuranceprovider.
The report can be run in two modes

  • test mode

  • production mode

  • Transfers are not made in test mode. This mode is particularly suitablefor checking the selection criteria or generating a copayment list.
    In production mode, the program transfers any copayments that have beenmade.

    Precondition
    Transferring copayments is an essential step in the collectionprocedure. For further information on the copayment procedure,please refer to the IS-H Application Manual.
    Please note that the report cannot be started more than once, sincethis could lead to blocking problems if several copayments aretransferred simultaneously to the same account in Financial Accounting.
    The report uses the SmartCall method (that is, all of the FinancialAccounting functions are handled via the standard IS-H communicationcontrol system). For this reason, all of the event tables must becorrectly maintained. Furthermore, the copayment control parametersmust also be maintained.
    Choose one of the following selection methods on the selection screen:

    • admission date

    • discharge date

    • case number

    • Select the corresponding radio button and enter the selection criteria.

      Output
      Data is only output if you have selected the log parameter.
      In test mode, the report generates a list of the selected copayments.In production mode, a transfer log is generated in addition to eachcopayment.

      Note
      In production mode, you should always choose the log parameterso that you can check the transfers that have been made.
      Check the log to make sure that both the transfer and the patientaccount clearance are accompanied by a document number. This documentnumber indicates that the transfer has been peformed correctly.
      If you receive an error message for a case or if a document number ismissing from the log, you must check the case in Financial Accountingbefore you restart the transfer report:

      • if neither a transfer nor a clearing has been posted, check whether a
      • copayment has been made on the patient's account
        • if the patient's account was not cleared automatically even though the
        • copayment was successfully transferred to the insurance provider'saccount, you must clear the patient's account before you restart thetransfer report.

          Warnung
          If you receive error messages for cases in production mode, you mustnot restart the report. In this case, you must first correct the casesin Financial Accounting.
          The reason for this is that these cases still have open items inFinancial Accounting. Transferring them again would lead to multiplepostings.

          Example
          The section below shows how the transfer report works:
          The transfer program searches for any open copayments that have beenmade (a) and posts a copayment reversal/credit memo for the insuranceprovider (b)
          Patient account (OI) Insurance provider account (OI)
          | |
          -------------------- --------------------
          | 120.00 (a) |
          (b) 120.00| Open | 120.00 (b)
          | items |
          ------------------- --------------------
          | Cleared |
          | items |
          The patient's account is cleared (c):
          Patient account (OI)
          |
          --------------------
          | Open
          | items
          --------------------
          (c) 120.00| 120.00 (c) Cleared
          | items
          As a result, a credit memo is created for the insurance provider (andcan be displayed when the invoice is printed out) and the patient'saccount is cleared of the copayment.