T7XAS8 - Claim rule for Plan
Claim rule for Plan information is stored in SAP table T7XAS8.
It is part of development package PCLM in software component PA-BN-CL. This development package consists of objects that can be grouped under "Claims processing :Asia".
It is part of development package PCLM in software component PA-BN-CL. This development package consists of objects that can be grouped under "Claims processing :Asia".
Fields for table T7XAS8
Field Name | Description | Is Key | Data Element | Data Type | Length | Check Table |
|---|---|---|---|---|---|---|
| MANDT | Client | X | MANDT | CLNT | 6 | T000 |
| BAREA | Benefit area | X | BEN_AREA | CHAR | 4 | T5UB3 |
| BPLAN | Benefit plan | X | BEN_PLAN | CHAR | 8 | T5UBA |
| CLMFM | Claim variant for Plan | X | CLM_CLMFM | CHAR | 8 | T7XAS6 |
| SALGR | Benefit salary group | X | BEN_SALGR | CHAR | 8 | T5UBK |
| AGEGR | Benefit age group | X | BEN_AGEGR | CHAR | 8 | T5UBL |
| LOSGR | Benefit seniority group | X | BEN_LOSGR | CHAR | 8 | T5UBM |
| CLMGR | Claim grouping for plan | X | CLM_CLMGR | CHAR | 8 | T7XASI |
| GENDR | Gender data for calculating claims limit | X | CLM_GENDER | CHAR | 2 | |
| ENDDA | End Date | X | ENDDA | DATS | 16 | |
| BEGDA | Start Date | BEGDA | DATS | 16 | ||
| AMOUT | Claim Limit Amount | CLM_AMOUT | CURR | 8 | ||
| PRCNT | Claim limit expressed as a percentage | CLM_PRCNT | DEC | 3 | ||
| APPRL | Processing rule for claim limit amount and percentage | CLM_APPRL | CHAR | 2 | ||
| NUMCL | Number of claims | CLM_NUMCL | DEC | 2 | ||
| CLMAX | Maximum amount per claim | CLM_CLMAX | CURR | 8 | ||
| DCLMX | Maximum amount per claim for dependents | CLM_DCLMX | CURR | 8 | ||
| MXPER | Claim limit expressed as a percentage | CLM_PRCNT | DEC | 3 | ||
| PRRUL | Processing rule for amout and percentage | CLM_PRRUL | CHAR | 2 | ||
| CLMNO | No. of units | CLM_NOUNITS | DEC | 2 | ||
| CLMUN | Claims units for no. of claims | CLM_UNITS | NUMC | 4 | T549R | |
| UNFLG | Claim limit is applicable for all (Employee and Family) | CLM_UNFLG | CHAR | 2 | ||
| NDAYS | Duration in no. of days | CLM_NDAYS | NUMC | 8 | ||
| MXAMT | Maximum amount for each day | CLM_MXAMT | CURR | 8 | ||
| CPPER | Co-payment percentage | CLM_CPPER | DEC | 3 | ||
| CPAMT | Co-payment amount | CLM_CPAMT | CURR | 8 | ||
| CPPRL | Processing rule for co-pay amount and percentage for EE | CLM_CPPRL | CHAR | 2 | ||
| CPDEP | Co-payment percentage for family(dependents) | CLM_CPDEP | DEC | 3 | ||
| CADEP | Co-payment amount for family(dependents) | CLM_CADEP | CURR | 8 | ||
| CDPRL | Processing rule for co-pay amount and percentage for family | CLM_CDPRL | CHAR | 2 | ||
| WRDTY | Claims ward type | CLM_WRDTY | CHAR | 8 | ||
| ELPER | Dependent eligibility percentage | CLM_ELPER | DEC | 3 | ||
| DPAMT | Claim limit amount for dependents | CLM_DPAMT | CURR | 8 | ||
| ELGTY | Dependent eligibility type | CLM_ELGTY | CHAR | 2 | ||
| CLDCV | Dependent Coverage for Claims | CLM_CLDCV | CHAR | 8 | T7XASA |