What is coverage declaration in SAP FS-CM - Claims Management?

SAP Term: coverage declaration

• Component: FS-CM

• Component Name: Claims Management

• Description: Declaration sent by a health insurance carrier to a hospital stating whether the costs for the hospital stay of a patient will be covered by the insurance carrier. Coverage declarations can also reject coverage entirely for example, if the patient is not insured with the insurance carrier. Positive coverage declarations may be unlimited in time or restricted to a certain period or amount.

Smart SAP Assistant

• Key Concepts: 
  Coverage declaration is a feature of the FS-CM Claims Management component of SAP. It allows users to define the coverage of a claim, including the type of coverage, the amount of coverage, and any other relevant information. This information is then used to determine the amount of reimbursement that will be paid out for a claim. 
  
  How to use it: 
  To use coverage declaration, users must first define the type of coverage they are providing. This can be done by selecting from a list of predefined coverage types or by creating a custom coverage type. Once the type of coverage has been selected, users must then enter the amount of coverage and any other relevant information. This information is then used to determine the amount of reimbursement that will be paid out for a claim. 
  
  Tips & Tricks: 
  When defining the type of coverage, it is important to make sure that all relevant information is included. This will ensure that the correct amount of reimbursement is paid out for each claim. Additionally, it is important to keep track of any changes made to the coverage declaration as this could affect the amount of reimbursement that is paid out. 
  
  Related Information: 
  For more information on how to use coverage declaration in FS-CM Claims Management, please refer to SAP’s official documentation. Additionally, there are many online resources available that provide tips and tricks for using this feature effectively.