ASO Policies and Procedures

Invoice Statuses

Each invoice will obtain a status. The status of an invoice can be further described by the sub-status. An invoice’s status or sub-status can be changed by taking action on the invoice.

 

The following table describes the statuses in which an invoice can be placed.

Status

Description

Status

Description

Pending Approval

‘Pending Approval’ represents the initial status for all invoices; as soon as the invoice is created, an Approver needs to take action on the invoice.

'Pending Approval’ is also applied if the Approver deemed the invoice in need of corrections, and the Provider has since completed those corrections.

Pending Payment

‘Pending Payment’ represents the status immediately following the approval of an invoice; after the invoice is approved, the only decision left is to pay or not to pay.

Corrections Required

If an Approver identifies an issue with the services on a invoice (e.g., dates or amounts are incorrect, the wrong file was mistakenly attached to the invoice, etc.), then the Approver will set the invoice’s status to ‘Corrections Required’. This will signal to the Provider that they correct the identified issue(s) before approval and/or payment can be completed.

Invoice History

An invoice obtains an ‘Invoice History’ status as soon as a payment decision has been made.
If Falling Colors is not responsible for paying the invoice, then there will be no further movement once the invoice becomes historical - it will be either be ‘Paid’ or ‘Denied’.
If Falling Colors is the payor, however, the historical invoice will obtain two sub-statuses ('Processed' and ‘Paid’) before movement ceases.

 

Sometimes, the (distinct) statuses ‘Pending Approval’ and ‘Pending Payment’ are used in conjunction with another and simply referred to as ‘All Pending’ or just ‘Pending’.

 

The next table captures sub-statuses that further describe the status of an invoice.

Some sub-statuses are shared across statuses. Some sub-status are no longer obtainable once an invoice has moved into a particular status.

E.g., the “Awaiting Action” sub-status can be obtained if the invoice is in Pending Approval, Pending Payment, or Corrections Required statuses; however, the “In Review” sub-status can only be obtained if the invoice is in Pending Approval or Pending Payment statuses.

 

Sub-status

Status(es)

Description

Sub-status

Status(es)

Description

Awaiting Action

Pending Approval

‘Awaiting Action’ sub-status is applied when the invoice requires approval from a BHSD user, payment from the Payor, or corrections from the Provider.
Note: when the system creates an invoice, the ‘Awaiting Action’ sub-status is applied.

 

Pending Payment

Corrections Required

In Review

Pending Approval

‘In Review’ sub-status can be applied by an Approver or Payor if the invoice is under review.
This status is not required; an Approver or Payor can review the invoice without applying the ‘In Review’ sub-status. The sub-status is merely informative and can help improve communication between stakeholders.

 

Pending Payment

Administrative Hold

Pending Approval

‘Administrative Hold’ sub-status can be applied by an Approver or Payor if they need to ‘stop’ movement of an invoice. This might occur if outside factors (i.e., external to the application) require the invoice to be placed on hold.
This status is not required; an Approver or Payor can simply not take action on the invoice / leave the invoice as is. The sub-status is merely informative and can help improve communication between stakeholders.

 

Pending Payment

In Process

Pending Payment

The ‘In Process’ sub-status is only available if Falling Colors is the payor. Invoices will not be approved; instead, they will be moved to ‘In Process’.

Processed

Invoice History

The ‘Processed’ sub-status is only available if Falling Colors is the payor. A two-step payment process is required in this case; moving the invoice to ‘Processed’ is the first step.
An invoice with a ‘Processed’ sub-status is still considered historical (i.e., it has an ‘Invoice History’ status). Processed invoices will move to ‘Paid’ before movement ceases.

 

Paid

Invoice History

When an invoice is paid, it obtains the ‘Paid’ sub-status. At this point, providers will have received their money, and no further action can be taken on the invoice / movement will cease.

Denied

Invoice History

If an invoice is denied, the provider will not receive money for those services. No further action can be taken on the invoice / movement will cease.

 

The final table describes the actions which update an invoice’s status and/or sub-status, creating movement. These actions are made available to Approvers, Payors, and Providers in the ‘Action’ drop-down list on the Invoice Details page (with the exception of System-performed actions and the ‘Submit for payment’ action). Actions are limited to the corresponding group to which the user taking the action belongs.

E.g., only “Provider” users can take the ‘Corrections completed’ action; “Approver” or “Payor” users can take the ‘Provider corrections required’ action; etc.

After an action is taken on an invoice, it will be displayed in the ‘Last Action Taken’ column on the Invoice List with a matching icon.

User Group

Action

Invoice Moves To…

Status (Sub-status)

User Group

Action

Invoice Moves To…

Status (Sub-status)

System

Invoice Generated

Pending Approval (Awaiting Action)

System

Process Payment
Only available if Falling Colors is responsible for invoice payment

Invoice History (Paid)

Provider

Corrections completed

Pending Approval (Awaiting Action)
If Approver was the previous actor

 

Pending Payment (Awaiting Action)
If Payor was the previous actor

 

Approver

Approved by the lead agency

 

Pending Payment (Awaiting Action)

Approver

Denied by the lead agency

Invoice History (Denied)

Payor

Payment authorized by the payor

Invoice History (Paid)

Payor

Denied by the payor

Invoice History (Denied)

Payor

First level payment approval completed
Only available if Falling Colors is responsible for invoice payment

Pending Payment (In Process)

Payor

Submit for Payment
Only available if Falling Colors is responsible for invoice payment

Invoice History (Processed)

Approver or Payor

Provider corrections required

Corrections Required (Awaiting Action)

Approver or Payor

In review

Pending Approval (In Review)
If action is taken by the Approver

 

Pending Payment (In Review)
If action is taken by the Payor

 

Approver or Payor

Placed on administrative hold

Pending Approval (Administrative Hold)
If action is taken by the Approver

 

Pending Payment (Administrative Hold)
If action is taken by the Payor

 

 

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