Use these settings if you want to review orders before processing the credit card.

Uncheck the 'an_review' field if students will be enrolled to courses immediately when they entered their card number.
If you have checked 'an_review' field, the credit card will be authorized but not be captured and you will have 2 options: 'Manual-Capture' and 'Scheduled-Capture'.

In Moodle 1.6, you can accept/deny/refund the payments in Payment Managament page.