What is self-payer insurance relationship in SAP IS-H - SAP for Healthcare?

SAP Term: self-payer insurance relationship

• Component: IS-H

• Component Name: SAP for Healthcare

• Description: SAP Healthcare - Industry-Specific Components for Hospitals Type of insurance relationship of a patient in the area of patient accounting. If invoices are to be addressed directly to the patient, the insurance relationship of the patient is assigned to the patient him-/herself as a self-payer and not to an insurance provider. A self-payer insurance relationship is required, for example, when the patient is to be billed for services or when the patient makes down payments or copayments in Germany.

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• Key Concepts: 
  Self-payer insurance relationship is a feature of the IS-H SAP for Healthcare module. It allows healthcare providers to manage their own insurance relationships with patients, rather than relying on a third-party insurer. This feature allows providers to better control their costs and ensure that they are getting the best possible reimbursement for their services. 
  
  How to use it: 
  The self-payer insurance relationship feature of IS-H SAP for Healthcare can be used to manage patient insurance information. This includes setting up and maintaining patient insurance policies, tracking payments, and managing claims. The system also allows providers to track patient eligibility and coverage levels, as well as any changes in coverage over time. 
  
  Tips & Tricks: 
  When setting up a self-payer insurance relationship, it is important to ensure that all of the necessary information is entered accurately. This includes the patient's name, address, date of birth, and any other relevant information. Additionally, it is important to keep track of any changes in coverage or eligibility over time, as this can affect the reimbursement rate for services provided. 
  
  Related Information: 
  The self-payer insurance relationship feature of IS-H SAP for Healthcare is just one of many features available in the module. Other features include patient scheduling, billing and coding, and medical records management. Additionally, IS-H SAP for Healthcare integrates with other SAP modules such as FI/CO and MM/SD to provide a comprehensive healthcare solution.