Processing FSA Claim Payments

This section provides an overview of payment cycle activities.

Page Name

Definition Name

Usage

FSA Processing Parameters CAN

RUNCTL_FSA_CLAIMS

RUNCTL_FSA_CLAIMS

Set up the information that controls a payment processing cycle. Claims for all employees in the benefit program who are associated with the run ID and a service from date in the calendar year must have a claim status of Submitted or Pending.

FSA Calculate Claim Payment

FSA Calculate Payment CAN

 PRCSRUNCNTL

Process all claim data with statuses of Submitted, Pending, or Ready To Pay.

Print Cheques

Print FSA Checks

RUNCTL_FSA003CN

RUNCTL_FORM_ID

Print FSA claim checks for records flagged in FSA001.

Print Cheque Register

Print FSA Check Register

RUNCTL_FSA004CN

RUNCTL_FSA004

Print a list of the checks printed on the FSA Check Print Report.

For each payment cycle, perform these activities:

  1. Set up a run control ID for the payment processing cycle.

  2. Initiate the FSA Claims Processing process.

  3. To process claims payments, initiate FSA Claims Processing from the Process menu.

The system then performs the following steps:

  1. Based on the run control ID that you set up, processes all claim data with statuses of Submitted, Pending, or Ready To Pay.

  2. During payment processing, verifies that claims approved year-to-date do not exceed the annual pledge amount for the health care account or the year-to-date contribution for the dependent care account.

  3. Based on the minimum check amount that you define for employees in a benefit program, holds claims that are less than the minimum, changing the claim status to Pending.

    The system processes the claim but does not print a check until the total of the pending minimum reaches the minimum check amount. You define the minimum check amount for participants in a benefit program on the Benefit/Deduction Program page.

  4. When the total for pending claims reaches the minimum, during the next processing cycle the system processes a payment for the employee.

  5. Holds dependent care claims that are more than the year-to-date contribution amount.

    For example, if an employee submits a dependent care claim for more than the amount contributed to the dependent care FSA as of that date, the system pays the claim up to the amount in the FSA and holds the excess in a pending status.

  6. After processing a claim, changes the claim status from Submitted to Pending, Ready to Pay, or Fully Processed.

Access the Print FSA Checks page.

To print checks, set up and run the Check Print process using the Reports menu. This process prints checks for all of the claims with statuses of Pay this Run and form IDs that are equal to the form ID defined on the Print Checks or Print Cheques page.

The Check Print process also updates the claim payment status from Pay this Run to Paid.

Access the Print FSA Check Register page.

To print the Print Check Register, initiate the Check Register process. One check register exists for each benefit plan year, sorted by the health care and dependent care claims.