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  1. SAP Glossary
  2. Claims Management
  3. coverage referrals


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


SAP Term: coverage referrals

  • Component: FS-CM

  • Component Name: Claims Management

  • Description: An indication that insurance coverage might not exist for the claim, meaning that the insurer is not obliged to pay compensation. &EXAMPLE& Possible reasons for coverage referrals: Premium not paid Claims thought to be excessive Driver not authorized to drive the vehicle


Smart SAP Assistant

  • Key Concepts: 
    Coverage referrals in SAP FS-CM Claims Management are used to refer a claim to another insurer for coverage. This is done when the primary insurer does not have the coverage or capacity to handle the claim. The referral process allows the primary insurer to transfer the claim to another insurer who can provide coverage. 
    
    How to use it: 
    In order to refer a claim to another insurer, the primary insurer must first create a coverage referral in SAP FS-CM Claims Management. This is done by entering the details of the claim and selecting the appropriate coverage referral type. Once the referral is created, it can be sent to the other insurer for review and approval. 
    
    Tips & Tricks: 
    When creating a coverage referral, it is important to ensure that all of the necessary information is included in order for the other insurer to make an informed decision. Additionally, it is important to keep track of all referrals that have been sent out in order to ensure that they are being processed in a timely manner. 
    
    Related Information: 
    For more information on coverage referrals in SAP FS-CM Claims Management, please refer to the official SAP documentation. Additionally, there are many online resources available that provide detailed instructions on how to create and manage coverage referrals in SAP FS-CM Claims Management.
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