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  2. SAP for Healthcare
  3. copayment obligation


What is copayment obligation in SAP IS-H - SAP for Healthcare?


SAP Term: copayment obligation

  • Component: IS-H

  • Component Name: SAP for Healthcare

  • Description: SAP Healthcare - Industry-Specific Components for Hospitals In Germany, it is incumbent on the patient to make a legally stipulated contribution to the insurance provider for hospital treatment. The patient is liable for copayment if the following conditions are satisfied: The patient is insured for the present case with a state health insurance scheme requiring copayment. Copayment is not waived for the patient or the present case. &EXAMPLE& Copayment is waived for patients below the age of 18 years or when the case is of the type 'day patient'. The patient has not yet made the maximum copayment contributions for the present calendar year.


Smart SAP Assistant

  • Key Concepts: 
    Copayment obligation is a feature of the IS-H SAP for Healthcare module. It is a payment arrangement between a patient and their health insurance provider, where the patient pays a certain amount of money for their medical services, while the insurance provider covers the remaining cost. This arrangement helps to reduce the overall cost of medical services for both parties. 
    
    How to use it: 
    In order to use copayment obligation, the patient must first agree to the payment arrangement with their health insurance provider. Once this agreement is in place, the patient will be responsible for paying a certain amount of money for their medical services, while the insurance provider will cover the remaining cost. The amount of money that the patient is responsible for paying will be determined by their health insurance plan. 
    
    Tips & Tricks: 
    It is important to understand all of the details of your health insurance plan before agreeing to a copayment obligation. This will help ensure that you are aware of all of your financial responsibilities and can make an informed decision about whether or not this payment arrangement is right for you. 
    
    Related Information: 
    The IS-H SAP for Healthcare module also includes features such as claims processing, patient billing, and medical coding. These features can help streamline the process of managing healthcare payments and ensure that all parties involved are aware of their financial obligations.
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