Pay Instructions
The Pay Instructions zone allows you to search for a pay instruction using various search criteria. This zone contains the following sections:
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Search Criteria - The Search Criteria section contains the following fields:
Field Name Field Description Mandatory (Yes or No) Account ID Used to search for pay instructions which are created for a particular payee account. Note: The Search () icon appears corresponding to the Account ID field. On clicking the Search icon, the Account Search window appears.
No Policy Number Used to search for pay instructions that are linked to a particular policy. Note: This field appears only when you have selected the Group option from the Reconciliation Type list while defining a reconciliation type.No Health Plan Used to search for pay instructions that are linked to a particular health plan. Note:The Search (
) icon appears corresponding to the Health Plan field. On clicking the Search icon, the Health Plan Search window appears.
This field appears only when you have selected the Individual option from the Reconciliation Type list while defining a reconciliation type.
No Subscriber Identifier Type Used to search for pay instructions with a particular member identifier type. Note: The list includes only those member identifier types which are already defined in the system.No Subscriber Identifier Used to search for pay instructions with a particular member identifier. No Coverage Start Date Used to search for pay instructions which are created on or after the specified date. Note: You can either manually specify the date or select it using the Date Picker () icon corresponding to the field.
No Coverage End Date Used to search pay instructions which are created on or before the specified date. Note: You can either manually specify the date or select it using the Date Picker () icon corresponding to the field.
No Amount From Used to search for pay instructions with a particular lower limit of the pay instruction amount. No Amount To Used to search for pay instructions with a particular higher limit of the pay instruction amount. No Status Used to search pay instructions with a particular status. The valid values are: -
Canceled
-
Complete
-
Derivation Pending Processing
-
Error
-
Open
-
Pending
-
Reconciliation Pending Processing
No Payment Type Used to specify the exchange type through which the payment is recieved. Note: This field appears only when you have selected the Individual option from the Reconciliation Type list while defining a reconciliation type.No Note: You must specify at least one search criterion while searching for a pay instruction. -
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Search Results - On clicking the Search button, the search results appear based on the specified search criteria. The Search Results section contains the following columns:
Column Name | Column Description |
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Account Identifier Type | Indicates the account identifier type for the account. |
Account Identifier | Indicates the value for the account identifier type. |
Account ID | Indicates the payee account which made the payment. Note: It has a link. On clicking the
link, the Account screen appears with the details
of the respective account.
|
Policy Number | Indicates the policy number linked to a particular pay instruction. Note: This field appears
when you search pay instruction for fully-insured group
business.
|
Plan Number | Displays the plan number associated with the policy. Note: This field appears when you
search pay instruction for fully-insured group
business.
|
Payor Identifier Type | Displays the identifier type of the payor. Note: This field appears when you search pay
instruction for fully-insured individual business.
|
Payor Identifier | Displays the value for the payor identifier type. Note: This field appears when you
search pay instruction for fully-insured individual
business.
|
Subscriber Identifier Type | Displays the identifier type of the member. |
Subscriber Identifier | Displays the value for the member identifier type. |
Subscriber Name | Displays the member name. |
Health Plan | Displays information about the health plan. Note: This field appears when you search
pay instruction for fully-insured individual business.
|
HIOS ID | Displays the health insurance oversight system (HIOS) ID. Note: This field appears when
you search pay instruction for fully-insured individual
business.
|
Coverage Start Date | Displays the date from when the coverage is effective. |
Coverage End Date | Displays the date till when the coverage is effective. |
Payment Type | Displays the exchange type through which the payment is recieved. Note: This field
appears when you search pay instruction for fully-insured individual
business.
|
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. |
Status | Displays the status of the pay instruction. The valid values
are:
|
Pay Instruction ID | Displays the pay instruction ID. |
On clicking the View () icon corresponding to an Account Identifier Type column, the Pay Instruction screen appears with the details of the respective pay instruction
record.
You can filter the list using various search criteria (such as, Account
ID, Health Plan or Policy
Number, Subscriber Identifier Type,
Subscriber Identifier, Coverage Start
Date, Coverage End Date, Amount
From, Amount To, and
Status) available in the Filter area.
By default, the Filter area is hidden. You can view the
Filter area by clicking the Filters
() icon in the upper right corner of this zone.
Related Topics
For more information on... | See... |
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How to search for a pay instruction | Searching for a Pay Instruction |
How to view the details of a pay instruction | Viewing the Pay Instruction Details |