How To Fix ICL_POLICY_AGT013 - Relevant coverage &2 is missing for benefit type &1

SAP Error Message - Details

• Message type: E = Error

• Message class: ICL_POLICY_AGT - Message Class for Policy Agent

• Message number: 013

• Message text: Relevant coverage &2 is missing for benefit type &1

What causes this issue?

The relevant coverage &v2& is missing for benefit type &v1&.

System Response

The system does not create the subclaim for this claim type.

How to fix this error?

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

Procedure for System Administrators

Check the assignments of subclaims to claim types in Customizing.
INCLUDE ICL_MESSAGE_CUST OBJECT DOKU ID TX

Error message extract from SAP system. Copyright SAP SE.

Smart SAP Assistant

• What is the cause and solution for SAP error message ICL_POLICY_AGT013 - Relevant coverage &2 is missing for benefit type &1 ?

  The SAP error message ICL_POLICY_AGT013 indicates that there is a missing relevant coverage for a specific benefit type in the context of insurance claims processing. This error typically arises in the SAP Claims Management module when the system cannot find the necessary coverage details for a claim being processed.
  Cause:
  
  Missing Coverage Configuration: The relevant coverage for the specified benefit type is not configured in the system. This could be due to incorrect or incomplete setup in the insurance policy or coverage definitions.
  Policy Data Issues: The policy associated with the claim may not have the required coverage activated or may not include the benefit type in question.
  Data Entry Errors: There may be errors in the data entry for the claim or policy that lead to the system not recognizing the coverage.
  Inactive Coverage: The coverage might be inactive or not applicable for the specific claim scenario.
  
  Solution:
  
  Check Policy Configuration: Review the policy configuration in the SAP system to ensure that the relevant coverage for the specified benefit type is correctly set up. This includes checking the coverage types and their activation status.
  Verify Benefit Type: Ensure that the benefit type referenced in the error message is correctly defined and linked to the appropriate coverage in the policy.
  Update Policy Data: If the coverage is missing, you may need to update the policy data to include the necessary coverage for the benefit type. This may involve adding new coverage or modifying existing coverage settings.
  Consult Documentation: Refer to the SAP documentation or configuration guides for Claims Management to ensure that all necessary steps have been followed in setting up the coverage and benefit types.
  Contact Support: If the issue persists after checking the configuration, consider reaching out to SAP support or your internal SAP team for further assistance.
  
  Related Information:
  
  Transaction Codes: You may need to use transaction codes like ICL01 (Create Claim), ICL02 (Change Claim), or ICL03 (Display Claim) to review and modify claims.
  Customizing Settings: Check the customizing settings in the SAP system under the Claims Management area to ensure that all necessary configurations are in place.
  Testing: After making changes, perform testing to ensure that the error does not reoccur and that claims can be processed successfully.
  
  By following these steps, you should be able to resolve the error message ICL_POLICY_AGT013 and ensure that the relevant coverage is correctly associated with the benefit type in question.