EDI Training Aid #8 - Payment Segment

 

The Payment Segment is the section of a SROI transaction where a lump sum/settlement payment is reported. This segment shows the amount paid to each payee, the period the payment covers and the date the payment was issued.

This Training Aid will help Claim Administrators determine exactly what should be included in a Payment Segment and when it should be reported. Included in this document are the following:

  • What should be included in the Payment Segment (and corresponding benefit segment)
  • Challenges with the Payment Segment
  • Scenarios