Provider reconciliation

Step by step

1. Provider submission Operations Analyst

   Operations Analyst routes an Authorized instruction to the authorized provider. Retain the operation key and expected revision in the receipt.

   • Records expected revision and action result
   • Updates Instructions, Operation receipts

2. Record acknowledgement Operations Analyst

   The provider reference identifies the external response. A known acknowledgement can move the instruction to Submitted; an unknown outcome remains open for review.

   • Links internal and external identities
   • Updates Instructions, Operation receipts

3. Receive evidence Operations Analyst

   Link each provider event to the instruction with its line number, revision, quantity, price and fees.

   • Preserves provider event details
   • Updates Execution evidence, Instructions

4. Evidence reconciliation Independent Finance Reviewer

   Independent Finance Reviewer compares each event with the source request and marks it Verified or Rejected.

   • Identifies verified or rejected events
   • Updates Execution evidence, Instructions

5. Confirm outcome Independent Finance Reviewer

   Independent Finance Reviewer checks all relevant evidence before the parent instruction reaches Confirmed.

   • Supports the confirmed instruction state
   • Updates Instructions, Execution evidence

Operations Analyst

Handles the assigned request and acknowledgement.

Independent Finance Reviewer

Verifies evidence.

Auditor

Inspects the trail.