How To Fix ICL_H059 - System unable to determine monetary care benefit

SAP Error Message - Details

• Message type: E = Error

• Message class: ICL_H - Health Insurance

• Message number: 059

• Message text: System unable to determine monetary care benefit

What causes this issue?

The system was unable to determine the care benefit.
There are two possible reasons for this:
You did not enter a care level.
In <DS:GLOS.3526AFFEAFAB52B9E10000009B38F974>Customizing</>, no benefit
catalogs have been defined.

System Response

The system issues an error message and will not allow you to continue with this transaction until the error is resolved.

How to fix this error?

First of all, ensure that you have specified a care level.
If the system is still unable to determine the care benefit, contact
your system administration to define a benefits catalog (see "Procedure
for System Administration").

Procedure for System Administrators

Define at least one benefits catalog in IMG activity
<DS:SIMG._ICL_M_TICL401>Define Benefit Catalogs</>.

Error message extract from SAP system. Copyright SAP SE.

Smart SAP Assistant

• What is the cause and solution for SAP error message ICL_H059 - System unable to determine monetary care benefit ?

  The SAP error message ICL_H059, which states "System unable to determine monetary care benefit," typically occurs in the context of the SAP Claims Management module, particularly when dealing with insurance claims or benefits related to health care.
  Causes:
  
  Configuration Issues: The system may not be properly configured to determine the monetary care benefit. This could be due to missing or incorrect settings in the benefit configuration.
  Master Data Issues: There may be missing or incorrect master data related to the insured person, policy, or benefit type that is required for the calculation.
  Benefit Eligibility: The system may not find the necessary eligibility criteria met for the monetary care benefit, leading to the inability to calculate it.
  Program Errors: There could be issues in the underlying program logic or custom code that prevents the system from determining the benefit.
  Missing Calculation Rules: The calculation rules for the monetary care benefit may not be defined or activated in the system.
  
  Solutions:
  
  Check Configuration: Review the configuration settings for the monetary care benefit in the SAP system. Ensure that all necessary parameters are correctly set up.
  Verify Master Data: Ensure that all relevant master data (e.g., customer, policy, benefit type) is complete and accurate. Check for any missing entries or incorrect data.
  Eligibility Check: Review the eligibility criteria for the monetary care benefit to ensure that the claim meets all necessary conditions.
  Debugging: If you have access to the development environment, consider debugging the program to identify where the logic fails. This may require the assistance of a developer.
  Consult Documentation: Refer to SAP documentation or notes related to the Claims Management module for any known issues or additional configuration steps that may be required.
  Contact SAP Support: If the issue persists, consider reaching out to SAP support for assistance. They may provide patches or additional insights into the error.
  
  Related Information:
  
  Transaction Codes: Familiarize yourself with relevant transaction codes in SAP that pertain to Claims Management, such as ICL01 for creating claims or ICL02 for changing claims.
  SAP Notes: Search for SAP Notes related to ICL_H059 in the SAP Support Portal. These notes may provide specific fixes or workarounds for the error.
  User Forums: Engage with user forums or communities where SAP professionals discuss similar issues. This can provide insights from others who have faced the same error.
  
  By following these steps, you should be able to diagnose and resolve the issue related to the ICL_H059 error message in SAP.