How To Fix ICL157 - Obligation to pay compensation set to "No", as coverage referrals exist

SAP Error Message - Details

• Message type: E = Error

• Message class: ICL - FS-CM: Claims Management

• Message number: 157

• Message text: Obligation to pay compensation set to "No", as coverage referrals exist

Self-Explanatory Message

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Smart SAP Assistant

• What is the cause and solution for SAP error message ICL157 - Obligation to pay compensation set to "No", as coverage referrals exist ?

  The SAP error message ICL157 indicates that there is an obligation to pay compensation that has been set to "No" because there are existing coverage referrals. This typically occurs in the context of insurance claims processing within the SAP system, particularly in modules related to insurance and claims management.
  Cause:
  The error arises when:
  
  Coverage Referrals Exist: There are pending or unresolved coverage referrals associated with the claim. This means that the system has identified that there are issues or questions regarding the coverage that need to be addressed before compensation can be processed.
  Configuration Settings: The system is configured to prevent compensation payments when there are outstanding coverage issues, which is a common practice to ensure that all aspects of a claim are resolved before payments are made.
  
  Solution:
  To resolve this error, you can take the following steps:
  
  
  Review Coverage Referrals:
  
  Check the claim details to identify the specific coverage referrals that are causing the issue. This can usually be done through the claims management interface in SAP.
  Investigate the nature of the referrals. They may require additional documentation, clarification, or approval from relevant parties.
  
  
  
  Address the Referrals:
  
  Work with the necessary stakeholders (e.g., underwriters, claims adjusters) to resolve the coverage referrals. This may involve providing additional information, correcting data, or obtaining approvals.
  Once the referrals are addressed, update the claim status in the system.
  
  
  
  Re-evaluate the Claim:
  
  After resolving the referrals, re-evaluate the claim to ensure that all conditions for compensation are met.
  Change the obligation to pay compensation back to "Yes" if applicable.
  
  
  
  System Configuration:
  
  If you believe that the configuration settings are too restrictive, consult with your SAP administrator or technical team to review the settings related to compensation payments and coverage referrals.
  
  
  
  Related Information:
  
  Documentation: Refer to SAP documentation or user manuals specific to your version of the SAP system for detailed instructions on handling claims and coverage referrals.
  SAP Notes: Check for any relevant SAP Notes that may address this specific error or provide additional guidance on handling coverage referrals.
  Training: Consider training sessions for users involved in claims processing to ensure they understand how to manage coverage referrals effectively.
  
  By following these steps, you should be able to resolve the ICL157 error and proceed with the compensation process for the claim in question.