What is excess coverage in SAP IS-H - SAP for Healthcare?

SAP Term: excess coverage

• Component: IS-H

• Component Name: SAP for Healthcare

• Description: SAP Healthcare - Industry-Specific Components for Hospitals Excess coverage occurs when the existing insurance verification items for a service exceed 100% of the service charges in total. Excess coverage also occurs when the quantity of immediate services, which is the object of an insurance verification request, exceeds the quantity entered in the service entry transaction, or when the price covered exceeds the base price of the service.

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• Key Concepts: 
  Excess coverage is a feature of the IS-H SAP for Healthcare system that allows healthcare providers to manage their insurance coverage. It allows providers to set up a maximum amount of coverage for each patient, and then automatically adjust the amount of coverage based on the patient's actual costs. This helps providers manage their financial risk and ensure that they are not over- or under-insured. 
  
  How to use it: 
  To use excess coverage, healthcare providers must first set up a maximum amount of coverage for each patient. This can be done in the IS-H SAP for Healthcare system by entering the patient's information and setting the maximum amount of coverage. Once this is done, the system will automatically adjust the amount of coverage based on the patient's actual costs. 
  
  Tips & Tricks: 
  When setting up excess coverage, it is important to make sure that the maximum amount of coverage is set correctly. If it is too low, then the provider may be under-insured and could face financial losses if the patient's costs exceed the maximum amount of coverage. On the other hand, if it is too high, then the provider may be over-insured and could end up paying more than necessary for the patient's care. 
  
  Related Information: 
  Excess coverage is just one of many features available in IS-H SAP for Healthcare. Other features include claims processing, billing and payment processing, and analytics tools. For more information about these features, please visit SAP's website or contact your local SAP representative.