How To Fix ICL2052 - Benefit decision created and rejected

SAP Error Message - Details

• Message type: E = Error

• Message class: ICL2 - FS-CM: Claims Management

• Message number: 052

• Message text: Benefit decision created and rejected

Self-Explanatory Message

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Smart SAP Assistant

• What is the cause and solution for SAP error message ICL2052 - Benefit decision created and rejected ?

  The SAP error message ICL2052, which states "Benefit decision created and rejected," typically occurs in the context of the SAP Claims Management module, particularly when dealing with insurance claims or benefits processing. This message indicates that a benefit decision was made but subsequently rejected, which can happen for various reasons.
  Causes:
  
  Incomplete Data: The benefit decision may have been created with missing or incorrect information, leading to its rejection.
  Validation Errors: The system may have validation rules that the benefit decision did not meet, resulting in rejection.
  Approval Workflow: The benefit decision might require approval from a higher authority, and if it is not approved, it will be rejected.
  Business Rules: Specific business rules or conditions may not have been satisfied, causing the decision to be rejected.
  System Configuration: Incorrect configuration in the SAP system related to benefit processing can lead to such errors.
  
  Solutions:
  
  Review the Decision Details: Check the details of the benefit decision that was created. Look for any missing or incorrect information that may have led to the rejection.
  Check Validation Rules: Review the validation rules set up in the system to ensure that the benefit decision complies with all necessary criteria.
  Approval Process: If the decision requires approval, ensure that it has been submitted to the appropriate approver and follow up on its status.
  Consult Business Rules: Verify that all business rules related to the benefit decision are being met. This may involve checking eligibility criteria or other conditions.
  System Configuration: If you suspect a configuration issue, consult with your SAP Basis or configuration team to ensure that the system is set up correctly for benefit processing.
  Error Logs: Check the error logs or transaction codes related to claims management for more detailed information about why the decision was rejected.
  
  Related Information:
  
  Transaction Codes: Familiarize yourself with relevant transaction codes such as ICL01 (Create Claim), ICL02 (Change Claim), and ICL03 (Display Claim) to navigate through the claims management process.
  SAP Notes: Search for SAP Notes related to ICL2052 for any known issues or patches that may address this error.
  Documentation: Review SAP documentation or user manuals related to Claims Management for additional insights into benefit decision processing.
  
  If the issue persists after following these steps, it may be beneficial to consult with your SAP support team or reach out to SAP support for further assistance.