Template version 2026-10-06 · for: Hospital and health-system AP / treasury; any organization disbursing federal-award funds · owner role: AP Manager (owner); Controller (rule owner); Compliance Officer (oversight) · adopted by organization effective date . Editable .txt · JSON
Template. Written against the public text of the standard cited; the organization adopts, edits and owns it as its protocol. Every threshold, identity, hold or disclosure decision belongs to the organization. We report the findings against the protocol — counts, dates, states — nothing more. Not legal advice, not a compliance determination, not a consumer report.
Payments above $___ (set by the Controller), all payments from federal-award funds, and first payments to any new payee.
At the moment of payment-run approval; the read must be dated within ___ days of release (set here).
| Finding | Computed as | Data source | Threshold |
|---|---|---|---|
| In-scope payment coverage | payments in scope with a read dated within ___ days of release ÷ in-scope payments | AP system; receipt created_at | your protocol |
| Rule firings | payments stopped by the rule; share released after review; median hours to decision | AP hold log; Compliance decisions | your protocol |
| Silence at payment | payments released while a named source did not answer ÷ payments | receipt did_not_answer | your protocol |
| Changed-line review before release | payments with a changed line where Compliance decision predates release ÷ payments with a changed line | ENTITY_STATE_DELTA events; AP timestamps | your protocol |
| Reproducibility | sampled payments whose receipt hash still verifies and whose proof date precedes the payment | receipt verify; timestamp proof | your protocol |
| Record | Kept by | Retention |
|---|---|---|
| Hold rule text and its change notations | Controller | indefinite |
| Read id + hash per in-scope payment | AP | per HOSP-08 and finance retention |
| Compliance decisions on stopped payments | Compliance | per HOSP-08 |
Whether to pay. The read states what the files printed and what changed; the hold rule and every release decision are the organization's.
| Date | Change |
|---|---|
| 2026-10-06 | First issue. |
| date | adopted / edited by name |
Other templates: 01 · 02 · 03 · 06 · 07 · 08 · 09 · 10 · 01 · Duty Sheets (one page per rule, generated on any receipt) · our own procedures · 2026-10-25