Pay Instruction

The Pay Instruction zone displays the payment related information that is specific to each member. It contains the following sections:

  • Main - Displays the basic information about the pay instruction. It contains the following fields:

Field Name Field Description
Pay Instruction Information Displays information about the pay instruction in brief.
Reconciliation Information Displays information about the reconciliation.
Note: It has a link. On clicking the link, the Reconciliation screen appears where you can view the details of the respective reconciliation.
Status Indicates the status of the pay instruction. The valid values are:

  • Canceled

  • Completed

  • Derivation Pending Processing

  • Error

  • Open

  • Pending

  • Reconciliation Pending Processing
Coverage Start Date Displays the date of the policy from when the coverage starts.
Coverage End Date Displays the date of the policy till when the coverage ends.
Account Identifier Type Displays the account identifier type of the member.
Account Identifier Displays the value for the account identifier type.
Account Information Displays information about the account of the member.
Note: It has a link. On clicking the link, the Account screen appears where you can view the details of the respective account.
Policy Number Displays the policy number of the member.
Note: This field appears only when you are viewing the details of a pay instruction which is created for the fully insured group business.
Plan Number Displays the plan number of the member.
Note: This field appears only when you are viewing the details of a pay instruction which is created for the fully insured group business.
Health Plan Displays information about the health plan.
Note: This field appears only when you are viewing the details of a pay instruction which is created for the fully insured individual business.
HIOS ID
Note: This field appears only when you are viewing the details of a pay instruction which is created for the fully insured individual business.
Payment Type Displays the type of tender through which the payment is made.
Note: This field appears only when you are viewing the details of a pay instruction which is created for the fully insured individual business.
Payor Identifier Type Displays the payor identifier type.
Note: This field appears only when you are viewing the details of a pay instruction which is created for the fully insured individual business.
Payor Identifier Displays the payor identifier.
Note: This field appears only when you are viewing the details of a pay instruction which is created for the fully insured individual business.
Subscriber Identifier Type Displays the subscriber identifier type of the member.
Subscriber Identifier Displays the subscriber identifier of the member.
Subscriber Name Displays the subscriber name of the member.
Payment Instruction Amount Displays the amount that has to be paid to the member.
Open Amount Displays the amount which has not been paid to the member and is still in the open state.

In addition, the following sub-section appears in the Main section:

  • Pay Instruction Amount - This sub-section provides information about the pay instruction amount. It contains the following fields:

Field Name Field Description
Payment Instruction Amount Displays the amount that has to be paid to the member.
Open Amount Displays the amount which has not been paid to the member and is still in the open state.

  • Record Information - This section provides information on the pay instruction business object. It contains the following fields:

Field Name Field Description
Business Object Indicates the business object using which the pay instructions are executed. In addition, a context menu (The Context Menu Icon) icon appears corresponding to this field which helps in navigating to other screens in the application.
Note: It has a link. On clicking the link, the Business Object screen appears where you can view the details of the respective business object.
Status Date Time Displays the date and time when the pay instruction object status is updated.
Creation Date/Time Displays the date and time when the pay instruction object is created.

  • Characteristics - This section provides characteristic information for the pay instruction.

Field Name Field Description
Characteristic Type Displays the characteristic type.
Note: It has a link. On clicking the link, the Characteristic Type screen appears where you can view the details of the respective characteristic type.
Characteristic Value Displays the value of characteristic type.
Description Displays the description of the characteristic type.

Related Topics

For more information on... See...
How to view the details of reconciliation Viewing the Pay Instruction Details
Pay Instruction screen Pay Instruction (Used for Viewing)
Pay Instruction zone Pay Instruction